Individual
MR. DONALD L PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
310 25TH AVE N, NASHVILLE, TN 37203-1515
(615) 329-9023
Mailing address
PO BOX 16068, HIGH POINT, NC 27261-6068
(336) 882-4615
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN81504
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
9563
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3608045
—
TN
Enumeration date
02/24/2006
Last updated
04/22/2016
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