Individual
PHYLICIA LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
12800 BOENKER LN, BRIDGETON, MO 63044-2438
(314) 499-6060
(314) 261-9222
Mailing address
12800 BOENKER LN, BRIDGETON, MO 63044-2438
(314) 499-6060
(314) 261-9222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2009020513
MO
363LF0000X
Family Nurse Practitioner
Primary
2016027446
MO
Other
Enumeration date
10/14/2015
Last updated
06/18/2026
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