# MRS. HEATHER WYNNE-PHILLIPS

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

## Provider details

- **NPI number:** 1568827178
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | APRN9327709 | FL | Yes |

## Other

- **Enumeration date:** 12/24/2015
- **Last updated:** 04/09/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 018204600 | — | FL |
| 01 | — | EKVNR | BLUE CROSS BLUE SHIELD | FL |