Individual provider · Type 1 NPI

Diamond Phillips

Licensed Practical Nurse · Ridgewood, NY

NPI number 1700596301 Active

Practice location

1918 Cornelia St
Ridgewood, NY 11385-4434

Call (678) 592-6169 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X345612-01 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1700596301

Diamond Phillips's National Provider Identifier is 1700596301, issued on Dec 5, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Ridgewood, NY. The record was last updated on Dec 5, 2022.