Individual
KRISTIN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
3003 W MARTIN LUTHER KING BLVD, MAB 3RD FLOOR, TAMPA, FL 33607
(813) 870-4438
(813) 870-4153
Mailing address
2609 VILLA DR, VALRICO, FL 33594-5564
(813) 870-4438
(813) 870-4153
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP1679932
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP1679932
FLORIDA LICENSE #
FL
Enumeration date
08/11/2006
Last updated
07/09/2007
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