# PHYLLIS D GEARRING-ANDERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1104906056
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | AP30005430 | WA | — |
| 363L00000X | Nurse Practitioner | AP30005430 | WA | Yes |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 07/26/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0214165 | L & I | WA |
| 01 | — | 0235143 | STATE L&I | WA |
| 01 | — | 8942895 | CRIME VICTIMS | WA |
| 05 | — | 9650136 | — | WA |