Individual
DR. ELIZABETH ROSE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4800 CENTRAL AVE, #3349, EIELSON AFB, AK 99702-2301
(907) 377-1847
Mailing address
4800 CENTRAL AVE, #3349, EIELSON AFB, AK 99702-3101
(907) 377-3071
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
N361190153
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/19/2019
Last updated
03/25/2026
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