Provider Demographics
NPI:1659819993
Name:PHIPPS, ERIN (FNP)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:
Last Name:PHIPPS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:E
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:5120 E HAMPTON AVE
Mailing Address - Street 2:1113
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-6784
Mailing Address - Country:US
Mailing Address - Phone:623-332-9129
Mailing Address - Fax:
Practice Address - Street 1:217 S 63RD ST STE 105
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-6106
Practice Address - Country:US
Practice Address - Phone:480-981-8088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-07
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP9714363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily