| NPI | 1063965192 | 
|---|---|
| Former Name | ADRIANNE R PHILLIPS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR A004844) | 
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AR A004844) | 
| Enumeration Date | 2016-07-25 | 
| Last Update Date | 2023-05-23 |