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Individual

CARRI L PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.R.N.P.

Contact information

Practice address
5834 BERRYHILL RD, MILTON, FL 32570-8275
(850) 623-5437
(850) 626-7803
Mailing address
4951 GRANDE DR, PENSACOLA, FL 32504-8965
(850) 473-0100
(850) 473-0500

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP 1326922
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104809500
FL
01
ARNP 1326922
STATE LICENSE
FL
Enumeration date
05/24/2007
Last updated
03/31/2022
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