Phillips, Mary Lee

Phillips, Mary Lee is an individual health care provider with primary practice located at 720 Lindsay Lane Suite B, Cody WY 82414. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Phillips, Mary Lee can be contacted via phone (307) 578-1945.

Contact Information

Primary practice address
720 Lindsay Lane Suite B Cody WY 82414
Phone: (307) 578-1945
Fax: (307) 578-1956
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26461.0975 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 33320 West Virginia

Profile Details

NPI number 1639263650
LBN Legal business name Phillips, Mary Lee
Credentials A.P.R.N., F.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Nov 15th, 2018 - about 8 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 1639263650 NPPES
West Virginia Other P00265315 RAILROAD MEDICARE
West Virginia MEDICAID 7103229000 RAILROAD MEDICARE
West Virginia Other 001721127 RAILROAD MEDICARE

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