Individual
MS. PHYLLIS A MASSAC
Active
Individual
MS. PHYLLIS A MASSAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
1464
VI
163WH1000X
Hospice Registered Nurse
1464
VI
163WI0500X
Infusion Therapy Registered Nurse
Primary
1464
VI
Other
Enumeration date
11/30/2006
Last updated
09/11/2025
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