Individual
KAREN ELAINE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
670 MARGARET AVE, TERRE HAUTE, IN 47802-3854
(866) 389-2727
(401) 216-3854
Mailing address
670 MARGARET AVE, TERRE HAUTE, IN 47802-3854
(866) 389-2727
(401) 216-3854
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28078396A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063479624
NPI
—
01
—
15-3899
CMS REGISTRATION NUMBER
—
05
—
200817080A
—
IN
Enumeration date
04/27/2006
Last updated
12/08/2016
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