Individual
CYNTHIA J PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2601 W BELTLINE HWY, MADISON, WI 53713-2316
(608) 417-2100
(608) 417-2101
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
138013-30
WI
363L00000X
Nurse Practitioner
Primary
5916-33
WI
Other
Enumeration date
08/07/2014
Last updated
03/10/2016
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