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Individual

BETH MARSHALL PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
131 E CUNNINGHAM ST, BUTLER, PA 16001-5903
(724) 283-0212
Mailing address
131 E CUNNINGHAM ST, BUTLER, PA 16001-5903
(724) 283-0212

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP020919
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SP020919
STATE LICENSE
PA
Enumeration date
04/12/2019
Last updated
10/23/2019
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