Phillips, Michelle Ann

Phillips, Michelle Ann is an individual health care provider with primary practice located at 1660 Delaware St , Longview WA 98632-2310. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Phillips, Michelle Ann can be contacted via phone (360) 414-2800.

Contact Information

Primary practice address
1660 Delaware St Longview WA 98632-2310
Phone: (360) 414-2800
Fax: (360) 414-2803
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30007727 Washington
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X AP30007727 Washington
Nursing Service Providers / Registered Nurse 163W00000X RN00168417 Washington

Profile Details

NPI number 1447457387
LBN Legal business name Phillips, Michelle Ann
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2007
Last updated Dec 20th, 2012 - about 14 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 1447457387 NPPES
Washington Other RN00168417 WA STATE RN LICENSE
Washington Other 8945279 WA STATE RN LICENSE
Washington MEDICAID 9653718 WA STATE RN LICENSE
Washington Other AP30007727 WA STATE RN LICENSE
Washington Other 0224120 WA STATE RN LICENSE

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