Individual
KATIE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 77TH ST W, EDINA, MN 55435-5505
(952) 903-1283
(952) 922-2525
Mailing address
4510 77TH ST W, EDINA, MN 55435-5505
(952) 903-1283
(952) 922-2525
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
2480033
MN
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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