Individual provider · Type 1 NPI
Tiara Amber Phillips, APRN
Critical Care Medicine Nurse Practitioner · Raleigh, NC
NPI number
1962964007
Active
Practice location
3000 New Bern Ave
Raleigh, NC 27610-1231
Mailing address
PO Box 603949
Charlotte, NC 28260-3949
Other practice locations
- 5216 Clayton Ct, Fort Myers, FL 33907-2116 · (239) 343-8260
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN11001374 (FL) |
| Family Nurse Practitioner | 363LF0000X | APRN11001374 (FL) |
| Critical Care Medicine Nurse Practitioner Primary | 363LC0200X | 5015182 (NC) |
Critical Care Medicine Nurse Practitioner: Definition to come...
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About NPI 1962964007
Tiara Amber Phillips, APRN's National Provider Identifier is 1962964007, issued on Apr 5, 2019. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Raleigh, NC. The record was last updated on May 2, 2023.