Phillips, Andrea R

Phillips, Andrea R is an individual health care provider with primary practice located at 23140 Moakley St Ste 4 , Leonardtown MD 20650-2923. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Phillips, Andrea R can be contacted via phone (301) 997-1029.

Contact Information

Primary practice address
23140 Moakley St Ste 4 Leonardtown MD 20650-2923
Phone: (301) 997-1029
Fax: (301) 997-1489
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R127440 Maryland

Profile Details

NPI number 1093821977
LBN Legal business name Phillips, Andrea R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Feb 16th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093821977 NPPES
Maryland MEDICAID 302302800

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