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Individual

BRENDA PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1306 E 38TH ST, ERIE, PA 16504-3018
(814) 825-7440
Mailing address
290 GERRIE DR, UPPER ST CLAIR, PA 15241-1807
(412) 758-8181

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP007557
PA

Other

Enumeration date
01/12/2007
Last updated
07/08/2007
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