Most Relevant Information
Provider Data
| NPI Number: | 1003195553 |
| Provider Name: | TAMMY DIANE PHILLIPS R.N. |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN541413 |
Most Important Dates
| Enumeration Date: | 08/15/2011 |
| Last Updated: | 08/15/2011 |
Provider Practice Location
49 GROVE ST
CARBONDALE
PA
184072113
Practice Location Phone/Fax
| Phone: | 5705583232 |
| Fax: |
Provider Mailing Location
49 GROVE ST
CARBONDALE
PA
184072113
Provider Mailing Phone/Fax
| Phone: | 5705583232 |
| Fax: |