Individual
MRS. KRISTI M PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
22000 DULLES RETAIL PLZ STE 124, STERLING, VA 20166-2515
(703) 282-5338
Mailing address
22908 BOLLINGER TER, BRAMBLETON, VA 20148-1733
(601) 942-7502
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024175482
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024175482
VA LICENSE
VA
Enumeration date
02/21/2013
Last updated
03/18/2024
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