Phillips, Nikia Lashonda

Phillips, Nikia Lashonda is an individual health care provider with primary practice located at 1397 Medical Park Blvd Ste 140 , Wellington FL 33414-3187. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Phillips, Nikia Lashonda can be contacted via phone (561) 508-3989.

Contact Information

Primary practice address
1397 Medical Park Blvd Ste 140 Wellington FL 33414-3187
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP9191977 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ARNP9191977 Florida

Profile Details

NPI number 1740510312
LBN Legal business name Phillips, Nikia Lashonda
Credentials APRN CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2010
Last updated Oct 5th, 2020 - about 4 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 1740510312 NPPES
Florida MEDICAID 002001200

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