Individual
MICHELLE R PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 SHADOW LN, LAS VEGAS, NV 89106-4119
(702) 388-4710
Mailing address
3925 GLENORA FALLS ST, NORTH LAS VEGAS, NV 89085-4405
(203) 512-9887
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
822470
NV
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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