Individual
CARROLL L PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNP
Contact information
Practice address
110 HIDDEN VALLEY RD, MC MURRAY, PA 15317-2685
(724) 655-6531
Mailing address
129 BROOKDALE CIR, MC MURRAY, PA 15317-3357
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP013351
PA
363LA2200X
Adult Health Nurse Practitioner
AG0813036
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AG0813036
AANP
PA
Enumeration date
10/30/2013
Last updated
05/13/2025
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