Individual
CHARDE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 7TH ST SW, CANTON, OH 44710-1801
(330) 363-6242
(330) 363-2538
Mailing address
28100 CHAGRIN BLVD, WOODMERE, OH 44122-4522
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN.CNP.023184
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
023184
OH
363LP2300X
Primary Care Nurse Practitioner
APRN.CNP.023184
OH
Other
Enumeration date
07/24/2018
Last updated
04/22/2025
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