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NPI Code Detail

MEDICARE: MRS. ASHLEY BROOKE PHILLIPS FNP-C

MEDICARE: MRS. ASHLEY BROOKE 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
1363LF0000XFamily Nurse Practitioner4055SC

General Provider Information

NPI Number : 1861723207
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ASHLEY BROOKE PHILLIPS FNP-C
Provider Business Mailing Address
First Line : PO BOX 751461
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1461
Country : US
Telephone Number : 843-792-6200
Fax Number :
Provider Business Practice Location Address
First Line : 1 OPTUM CIR
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55344-2956
Country : US
Telephone Number : 800-561-0861
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2010
Last Update Date : 03/17/2026

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