Individual
MR. TIMOTHY BROOKS PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, AG-CNS
Contact information
Practice address
300 W 10TH AVE, COLUMBUS, OH 43210-1280
(614) 293-2101
(614) 293-9155
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-2101
(614) 293-9155
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
APRN.CNS.019359
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0387155
—
OH
Enumeration date
10/07/2019
Last updated
01/30/2020
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