Individual
MACIE LYNN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 E 10TH ST, WELLSTON, OH 45692-1706
(740) 418-0822
Mailing address
33 E 10TH ST, WELLSTON, OH 45692-1706
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
536345
OH
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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