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NPI Code Detail

MEDICARE: EMILIE PHILLIPS FNP-C

MEDICARE: EMILIE PHILLIPS FNP-C
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
1363LP2300XPrimary Care Nurse PractitionerSP028314PA
2363LP2300XPrimary Care Nurse Practitioner107095WV

General Provider Information

NPI Number : 1679345052
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILIE PHILLIPS FNP-C
Provider Business Mailing Address
First Line : 307 SHELDON AVE
Second Line :
City : FAIRCHANCE
State : PA
Zip : 15436-1073
Country : US
Telephone Number : 724-562-2314
Fax Number :
Provider Business Practice Location Address
First Line : 1 MEDICAL CENTER DR
Second Line :
City : MORGANTOWN
State : WV
Zip : 26506-1200
Country : US
Telephone Number : 304-598-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2023
Last Update Date : 04/07/2026

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Directions to “ EMILIE PHILLIPS FNP-C” Practice Location

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