Individual
DR. PHYLLIS ANN PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, ARNP
Contact information
Practice address
12313 CREEK EDGE DR, RIVERVIEW, FL 33569-6507
(813) 661-9335
Mailing address
12313 CREEK EDGE DR, RIVERVIEW, FL 33569-6507
(813) 661-9335
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2868992
FL
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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