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NPI Code Detail

MEDICARE: ASHLEY PHILLIPS

MEDICARE: ASHLEY PHILLIPS
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
1363L00000XNurse Practitioner0028347OH

General Provider Information

NPI Number : 1740942796
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY PHILLIPS
Provider Business Mailing Address
First Line : 3812 BUFFLEHEAD DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43230-1814
Country : US
Telephone Number : 724-462-5922
Fax Number :
Provider Business Practice Location Address
First Line : 4020 MORSE XING
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-6037
Country : US
Telephone Number : 614-472-8491
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2021
Last Update Date : 10/07/2021

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Directions to “ ASHLEY PHILLIPS ” Practice Location

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