Individual provider · Type 1 NPI

Tara Mulvey Phillips, CRNP

Primary Care Nurse Practitioner · Philadelphia, PA

NPI number 1104476605 Active

Practice location

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Call (203) 710-4883 Map

Mailing address

1621 Valley Greene Rd
Paoli, PA 19301-1032

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XSP020108 (PA)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1104476605

Tara Mulvey Phillips, CRNP's National Provider Identifier is 1104476605, issued on Sep 17, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 17, 2019.