Individual
MICHAELA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
125 BAY VIEW AVE, RIVERSIDE, RI 02915-4955
(401) 529-8884
Mailing address
125 BAY VIEW AVE, RIVERSIDE, RI 02915-4955
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN55724
RI
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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