| NPI | 1396155388 |
|---|---|
| Former Name | KELLYANN PHILIPPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 2523392) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN2523392) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP2523392) | |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2023-09-06 |