Individual
MANDI PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4500 E 9TH AVE, #615, DENVER, CO 80220-3912
(720) 475-8750
(303) 321-0367
Mailing address
4900 S MONACO ST, #210, DENVER, CO 80237-3486
(720) 475-8750
(303) 321-0367
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-5980
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47655020
—
CO
Enumeration date
12/10/2009
Last updated
01/27/2022
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