Individual
KRISTAIN NICOLE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4689 N STATE ROAD 9, ANDERSON, IN 46012-1050
(765) 639-4141
Mailing address
4689 N STATE ROAD 9, ANDERSON, IN 46012-1050
(765) 639-4141
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28207557A
IN
Other
Enumeration date
02/18/2022
Last updated
09/14/2022
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