Most Relevant Information
Provider Data
| NPI Number: | 1003244047 |
| Provider Name: | CARROLL L PHILLIPS DNP, CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2200X |
| Specialty: | Nurse Practitioner |
| License Number: | AG0813036 |
Most Important Dates
| Enumeration Date: | 10/30/2013 |
| Last Updated: | 07/07/2021 |
Provider Practice Location
372 N CRAIG ST STE 101
PITTSBURGH
PA
152131245
Practice Location Phone/Fax
| Phone: | 4126837560 |
| Fax: | 4126836992 |
Provider Mailing Location
129 BROOKDALE CIR
MC MURRAY
PA
153173357
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |