Emily Paige Phillips, LPN

Individual provider Active NPI Licensed Practical Nurse · Phoenix, NY

NPI 1356080907 · NPPES record last updated Sep 20, 2023

Key facts

NPI
1356080907
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
326679 (NY)
Practice address
4 Lock St Apt B
Phoenix, NY 13135-2374
Phone
(315) 857-4628
NPI assigned
Jun 1, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
326679NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 326679 NY Yes

Addresses

Primary practice location

4 Lock St Apt B
Phoenix, NY 13135-2374

Mailing address

4 Lock St Apt B
Phoenix, NY 13135-2374
Phone (315) 857-4628

Other providers in Phoenix, NY

All providers in Phoenix, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.