Most Relevant Information
Provider Data
| NPI Number: | 1003657784 |
| Provider Name: | ZACHARIAS PAUL PHELPS-ROPER RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 232348 |
Most Important Dates
| Enumeration Date: | 06/05/2024 |
| Last Updated: | 06/05/2024 |
Provider Practice Location
2811 TIETON DR
YAKIMA
WA
989023799
Practice Location Phone/Fax
| Phone: | 5095758000 |
| Fax: |
Provider Mailing Location
2300 W SAN ANGELO ST APT 1165
GILBERT
AZ
852332266
Provider Mailing Phone/Fax
| Phone: | 7852500658 |
| Fax: |