| Doctor Name: | CARROLL PHILLIPS |
| NPI Number: | 1003244047 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | AG0813036 |
| Business Practice Address: | 2275 Swallow Hill Rd Bldg 2600 Pittsburgh, PA - 152201656 |
| Business Phone Number: | 4122794522 |
| Business Fax Number: | 4122793416 |
| Mailing Address: | 1327 Heberton St, PITTSBURGH |
| State: | PA |
| Postal Code: | 152061716 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/30/2013 |
| NPI Last Update Date: | 10/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | AG0813036 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |