Individual
ANDREA R PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
23140 MOAKLEY ST STE 4, LEONARDTOWN, MD 20650-2923
(301) 997-1029
(301) 997-1489
Mailing address
9440 PENNSYLVANIA AVE, #160, UPPER MARLBORO, MD 20772-3659
(301) 888-2233
(301) 888-9133
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R127440
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302302800
—
MD
Enumeration date
08/22/2006
Last updated
02/16/2023
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