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Individual

CARRIE LYNN PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
632 BROADWAY PH 12, NEW YORK, NY 10012-2614
(800) 731-4254
Mailing address
632 BROADWAY PH 12, NEW YORK, NY 10012-2614

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1622533
CO

Other

Enumeration date
11/09/2022
Last updated
11/15/2022
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