Individual
FAITH ANN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RNP, FNP-BC
Contact information
Practice address
100 LAKE TRAVERSE DR, SISSETON, SD 57262-7046
(605) 698-7606
Mailing address
PO BOX 10097, CASA GRANDE, AZ 85130-0020
(520) 836-3446
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN184677
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP11770
AZ
363LF0000X
Family Nurse Practitioner
TAP11700
AZ
Other
Enumeration date
08/23/2018
Last updated
03/01/2024
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