Individual
PAMELA L PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
209 LAGUAYRA DR NE, ALBUQUERQUE, NM 87108-1723
(505) 203-9627
Mailing address
209 LAGUAYRA DR NE, ALBUQUERQUE, NM 87108-1723
(505) 203-9627
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
65588
NM
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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