Phillips, Carri L

Phillips, Carri L is an individual health care provider with primary practice located at 5834 Berryhill Rd , Milton FL 32570-8275. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Phillips, Carri L can be contacted via phone (850) 623-5437.

Contact Information

Primary practice address
5834 Berryhill Rd Milton FL 32570-8275
Phone: (850) 623-5437
Fax: (850) 626-7803
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP 1326922 Florida

Profile Details

NPI number 1164633087
LBN Legal business name Phillips, Carri L
Credentials A.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Mar 31st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164633087 NPPES
Florida MEDICAID 104809500
Florida Other ARNP 1326922

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