Individual
NICHOLE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 S DOUGLAS RD, PEMBROKE PINES, FL 33025-1355
(954) 985-1470
Mailing address
801 S DOUGLAS RD, PEMBROKE PINES, FL 33025-1355
(954) 985-1470
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9208401
FL
Other
Enumeration date
10/13/2014
Last updated
03/14/2021
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