Individual
AMANDA RENEE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
4200 REGENT ST STE 200, COLUMBUS, OH 43219-6229
(877) 870-1775
(614) 968-8840
Mailing address
3034 HORTON AVE, SAN DIEGO, CA 92103-6008
(425) 241-5977
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95013542
CA
Other
Enumeration date
03/24/2020
Last updated
07/11/2024
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