Individual
SUSAN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
777 BANNOCK ST, MC 7782, DENVER, CO 80204-4507
(303) 436-6000
Mailing address
777 BANNOCK ST, MC 7782, DENVER, CO 80204-4507
(303) 436-6000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
92548
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14002850
—
CO
Enumeration date
10/02/2006
Last updated
07/08/2007
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