Individual
MELLISA PHILLIPS-ADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4250 MCKENZIE DR SE APT 204, MANDAN, ND 58554-6241
(413) 218-2035
Mailing address
4250 MCKENZIE DR SE APT 204, MANDAN, ND 58554-6241
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201452
ND
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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