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Individual

ERIN R PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNMW

Contact information

Practice address
2067 W VISTA WAY, SUITE 225, VISTA, CA 92083-6031
(760) 758-3000
Mailing address
4343 RESMAR RD, LA MESA, CA 91941-6920
(619) 820-0871

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
19002
CA
367A00000X
Advanced Practice Midwife
Primary
1857
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1857
CRNMW
CA
01
19002
CRNP
CA
Enumeration date
07/15/2009
Last updated
07/15/2009
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