NPI 1043051006

Astasia Estell Phelps

Practitioner Peer Specialist Poplar Bluff, MO

Practice location

Address: 3001 Warrior Ln, Poplar Bluff, MO 63901-8685
Phone: (573) 686-1200

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 175T00000X

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Registry record

NPI: 1043051006
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jun 2024
Record last updated: 4 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.