| NPI | 1265420186 |
|---|---|
| Other Name | NICOLE PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 193980) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA 193980) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2021-08-06 |