Individual
CAROLYN SUE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
490A W ZIA RD, SANTA FE, NM 87505-6996
(505) 913-8900
(505) 913-8923
Mailing address
490A W ZIA RD, SANTA FE, NM 87505-6996
(505) 913-8900
(505) 913-8923
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP01936
NM
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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