Individual
STACY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2150 CORBIN AVE, NEW BRITAIN, CT 06053-2266
(860) 832-6248
Mailing address
2150 CORBIN AVE, NEW BRITAIN, CT 06053-2266
(860) 832-6248
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
075385
CT
363LA2100X
Acute Care Nurse Practitioner
Primary
004501
CT
Other
Enumeration date
09/01/2010
Last updated
09/12/2022
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