Individual
ANITA S PHILIPOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1303 N MAIN ST STE C, SHELBYVILLE, TN 37160-2331
(502) 417-4956
Mailing address
1303 N MAIN ST STE C, SHELBYVILLE, TN 37160-2331
(502) 417-4956
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3540P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500020605
RAILROAD MEDICARE
KY
05
—
78005915
—
KY
Enumeration date
08/25/2006
Last updated
04/22/2009
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