Individual
MS. MARY CAROL PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 RIDGE AVE, WASHINGTON, PA 15301-3449
(724) 250-7790
(724) 250-7568
Mailing address
180 1/2 HIGHVIEW DR, UPPER ST CLAIR, PA 15241-1637
(412) 833-9808
(724) 250-7568
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
TP003855B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TP003855B
LICENCE
PA
Enumeration date
07/03/2006
Last updated
07/08/2007
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