Anthony Derral Phillips, RN, BSN Valid NPI

Individual provider · Registered Nurse · Jacksonville, OR

NPI

1245475813

Type

Individual (Type 1)

Primary specialty

Registered Nurse

Specialty group

Nursing Service Providers

Taxonomy code

163W00000X

License number

099006484RN (OR)

Sex

Male

Sole proprietor

Yes

Enumerated

2008-12-10

Last updated

2008-12-10