=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538021530
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KURIN PHILLIPS RN, MSN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/27/2025
-----------------------------------------------------
Last Update Date | 11/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 601 HIGHWAY 6 W
-----------------------------------------------------
City | IOWA CITY
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 52246-2209
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 319-339-7012
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 601 HIGHWAY 6 W
-----------------------------------------------------
City | IOWA CITY
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 52246-2209
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 319-339-7012
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WC0200X
-----------------------------------------------------
Taxonomy Name | Critical Care Medicine Registered Nurse
-----------------------------------------------------
License Number | 129281
-----------------------------------------------------
License Number State | IA
-----------------------------------------------------