Most Relevant Information
Provider Data
| NPI Number: | 1003583147 |
| Provider Name: | CRYSTAL DAWN PHIPPS FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 2021028648 |
Most Important Dates
| Enumeration Date: | 08/26/2021 |
| Last Updated: | 04/21/2022 |
Provider Practice Location
104 E US HIGHWAY 60
MOUNTAIN VIEW
MO
655487381
Practice Location Phone/Fax
| Phone: | 4179342251 |
| Fax: |
Provider Mailing Location
104 E US HIGHWAY 60
MOUNTAIN VIEW
MO
655487381
Provider Mailing Phone/Fax
| Phone: | 4179342251 |
| Fax: |