Individual
NICOLE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1707 S STEPHENSON AVE, SUITE 102, IRON MOUNTAIN, MI 49801-3667
(906) 776-5960
Mailing address
1721 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801-3637
(906) 776-5960
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704225113
MI
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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