Individual
MRS. NIVIA NIVIA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
651 JOHN F KENNEDY WAY, WILLINGBORO, NJ 08046-1262
(609) 835-2838
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
(732) 790-0107
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00121400
NJ
363LA2200X
Adult Health Nurse Practitioner
26NJ00121400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0334758
—
NJ
Enumeration date
11/27/2006
Last updated
04/02/2025
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