Individual
AIDAN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1213 E CLAY ST, RICHMOND, VA 23298-5071
(804) 828-9084
Mailing address
300 S 11TH ST APT 3213, RICHMOND, VA 23219-1945
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
0001303160
VA
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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