| Doctor Name: | MS. MICHELLE EVANS PHILLIPS |
| NPI Number: | 1063722585 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP, FNP-BC |
| License Number: | VP004794B |
| Business Practice Address: | 116 Shirley Ln Boiling Springs, PA - 170079593 |
| Business Phone Number: | 7179918101 |
| Business Fax Number: | |
| Mailing Address: | 116 Shirley Ln, BOILING SPRINGS |
| State: | PA |
| Postal Code: | 170079593 |
| Phone Number: | 7177728283 |
| Fax Number: | |
| NPI Enumeration Date: | 10/18/2010 |
| NPI Last Update Date: | 10/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | VP004794B |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |