Individual
MS. KATHERINE H PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1245 EASTERN BLVD, BALTIMORE, MD 21221-3422
(410) 558-4700
(410) 780-0364
Mailing address
3501 SINCLAIR LN, BALTIMORE, MD 21213-2029
(410) 558-4888
(410) 510-1393
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R192355
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376751500
—
MD
Enumeration date
12/19/2012
Last updated
12/19/2012
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