Eaton, Phyllis Marie

Eaton, Phyllis Marie is an individual health care provider with primary practice located at 700 Independence Cir Ste 3D , Virginia Beach VA 23455-6405. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Eaton, Phyllis Marie can be contacted via phone (757) 473-8533.

Contact Information

Primary practice address
700 Independence Cir Ste 3D Virginia Beach VA 23455-6405
Fax: (757) 456-0616
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001128454 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 0015000876 Virginia

Profile Details

NPI number 1972731107
LBN Legal business name Eaton, Phyllis Marie
Credentials PHD, RN, PMHCNS-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2009
Last updated Jun 25th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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