Individual
SUSANNA CAROLINE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3618
(239) 343-0284
(239) 343-0973
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-0284
(239) 343-0973
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
26J01070900
NJ
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN9355406
FL
363LF0000X
Family Nurse Practitioner
26J01070900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023097600
—
FL
Enumeration date
11/22/2017
Last updated
04/10/2024
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