# HEIDI SUZANNE PHILLIPS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1720617236
- **Gender:** F
- **Credential:** MSN APRN CNM IBCLC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WL0100X | Lactation Consultant (Registered Nurse) | L-165889 | CO | — |
| 367A00000X | Advanced Practice Midwife | 202104538NP-PP | OR | Yes |
| 367A00000X | Advanced Practice Midwife | APN.0995468-CNM | CO | — |

## Other

- **Enumeration date:** 04/06/2020
- **Last updated:** 06/03/2021