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Individual
MRS. CYNTHIA D PHILLIPS
Active
Individual
MRS. CYNTHIA D PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3012365
KY
363LG0600X
Gerontology Nurse Practitioner
3012365
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3012365
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14299188
CAQH
KY
Enumeration date
07/24/2018
Last updated
12/03/2021
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