Individual
MRS. NADIA PHILLIPS PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 747-3111
Mailing address
5000 W PRAIRIEWOOD DR, MUNCIE, IN 47304-3485
(765) 284-3072
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
71003655A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201098070
—
IN
Enumeration date
09/20/2011
Last updated
10/06/2014
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