Individual
AMANDA L. PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
269 S CANDY LN, COTTONWOOD, AZ 86326-4158
(928) 639-6150
(928) 639-6561
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
256133
AZ
367500000X
Certified Registered Nurse Anesthetist
488121
NY
Other
Enumeration date
07/18/2005
Last updated
05/14/2021
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