Individual provider · Type 1 NPI
Marlow Phillips, NP
Gerontology Nurse Practitioner · Fairfax, VA
NPI number
1396193405
Active
Practice location
3300 Gallows Road
Fairfax, VA 22042
Mailing address
2700 Prosperity Ave Ste 270
Fairfax, VA 22031-4321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 0024173545 (VA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1396193405
Marlow Phillips, NP's National Provider Identifier is 1396193405, issued on May 31, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Fairfax, VA. The record was last updated on Mar 27, 2019.