Individual
MS. VALARIE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCM
Contact information
Practice address
292 PICKENS CIR, CARTHAGE, MS 39051-7982
(760) 270-3791
Mailing address
15911 SANDALWOOD CREEK DR, WILDWOOD, MO 63011-5518
(760) 270-3791
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
29383
TN
163WC1500X
Community Health Registered Nurse
609662
CA
163WC1600X
Continuing Education/Staff Development Registered Nurse
609662
CA
163WH0200X
Home Health Registered Nurse
609662
CA
163WP2201X
Ambulatory Care Registered Nurse
609662
CA
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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