Individual provider · Type 1 NPI
Olive Ann Phillips I, APN
Gerontology Nurse Practitioner · North Little Rock, AR
NPI number
1629183082
Active
Practice location
1400 Fort Roots Dr.
North Little Rock, AR 72114
Fax (501) 257-2026
Mailing address
2609 Valley Park Dr
Little Rock, AR 72212-2789
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | AO1389 (AR) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1629183082
Olive Ann Phillips I, APN's National Provider Identifier is 1629183082, issued on Aug 19, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in North Little Rock, AR. The record was last updated on Jul 9, 2007.