| Doctor Name: | BEVERLY ANNE PHILLIPS |
| NPI Number: | 1104926369 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | 317475 |
| Business Practice Address: | 306 N 2nd Ave Middleport, OH - 457601008 |
| Business Phone Number: | 7409920540 |
| Business Fax Number: | 7409920264 |
| Mailing Address: | P.o. Box 188, Family Healthcare Inc. CHILLICOTHE |
| State: | OH |
| Postal Code: | 45601 |
| Phone Number: | 7407734366 |
| Fax Number: | 7407757855 |
| NPI Enumeration Date: | 09/25/2006 |
| NPI Last Update Date: | 07/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 317475 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |