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NPI Code Detail

MEDICARE: MRS. DEBORAH B PHILLIPS C-FNP

MEDICARE:  MRS. DEBORAH B PHILLIPS  C-FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner200918NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346266038
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEBORAH B PHILLIPS C-FNP
Provider Business Mailing Address
First Line : 3004 BRIDGES ST
Second Line :
City : MOREHEAD CITY
State : NC
Zip : 28557-3330
Country : US
Telephone Number : 252-727-4933
Fax Number : 252-727-4936
Provider Business Practice Location Address
First Line : 3004 BRIDGES ST
Second Line :
City : MOREHEAD CITY
State : NC
Zip : 28557-3330
Country : US
Telephone Number : 252-727-4933
Fax Number : 252-727-4936
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 02/06/2013

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Directions to “ MRS. DEBORAH B PHILLIPS C-FNP” Practice Location

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