Individual
MARIA L PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1802 ELECTRIC RD, ROANOKE, VA 24018-1619
(540) 283-3760
(540) 989-2869
Mailing address
2000 HEALTH PARK DR FL HP2, BRENTWOOD, TN 37027-4692
(615) 373-7600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024178965
VA
Other
Enumeration date
03/04/2020
Last updated
02/11/2022
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