Individual
ANNETTA RAE PHILLIPI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, NC-BC, PN
Contact information
Practice address
2818 MAINE ST, QUINCY, IL 62301-4413
(217) 695-4543
Mailing address
2818 MAINE ST, QUINCY, IL 62301-4413
(217) 695-4543
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041275195
IL
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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