Individual
CARLA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3577 W 13 MILE RD, ROYAL OAK, MI 48073-6710
(248) 551-9598
Mailing address
2220 HYLAND ST, FERNDALE, MI 48220-1243
(248) 224-8417
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704263794
MI
Other
Enumeration date
03/29/2014
Last updated
03/31/2021
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