Individual
CYNTHIA KAYE PHILLIPS-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, AGNP
Contact information
Practice address
3765 E BLUE LUPINE DR STE D, WASILLA, AK 99654-8417
(907) 707-1671
(907) 707-1675
Mailing address
1399 S TIM AVE, WASILLA, AK 99623-9338
(385) 201-4211
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
141780
AK
225700000X
Massage Therapist
MA00017451
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
224414
AK
Other
Enumeration date
09/16/2006
Last updated
06/20/2024
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