Phillips, Tiara Amber

Phillips, Tiara Amber is an sole proprietor health care provider with primary practice located at 3000 New Bern Ave , Raleigh NC 27610-1231. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine is her primary health care specialty. Phillips, Tiara Amber can be contacted via phone (919) 350-8000.

Contact Information

Primary practice address
3000 New Bern Ave Raleigh NC 27610-1231
Phone: (919) 350-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN11001374 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11001374 Florida
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 5015182 North Carolina

Profile Details

NPI number 1962964007
LBN Legal business name Phillips, Tiara Amber
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2019
Last updated May 2nd, 2023 - about last year

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 1962964007 NPPES
Florida MEDICAID 102546300
Florida MEDICAID 1962964007

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