Organization
NP PRIMARY CARE PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE J. PHILLIPS DNP, APRN, FNP-C (MEDICAL DIRECTOR/OWNER)
(203) 572-7491
Entity
Organization
Contact information
Practice address
2091 FAIRFIELD AVENUE, SUITE #1, BRIDGEPORT, CT 06605-2246
(203) 572-7491
Mailing address
2091 FAIRFIELD AVENUE, SUITE #1, BRIDGEPORT, CT 06605-2246
(203) 572-7491
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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