| Doctor Name: | MS. PHYLLIS A MASSAC |
| NPI Number: | 1073681904 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 1464 |
| Business Practice Address: | 15 B Prindsens Gade St.thomas, VI - 008011980 |
| Business Phone Number: | 3407749177 |
| Business Fax Number: | |
| Mailing Address: | Po Box 8980, ST THOMAS |
| State: | VI |
| Postal Code: | 008011980 |
| Phone Number: | 3407765017 |
| Fax Number: | 3406932697 |
| NPI Enumeration Date: | 11/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | 1464 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | VI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |