Most Relevant Information
Provider Data
| NPI Number: | 1003670290 |
| Provider Name: | AVIS MICHELLE PHILLIPS |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP2201X |
| Specialty: | Registered Nurse |
| License Number: | 28171079A |
Most Important Dates
| Enumeration Date: | 02/08/2024 |
| Last Updated: | 02/08/2024 |
Provider Practice Location
1700 E 38TH ST
MARION
IN
469534568
Practice Location Phone/Fax
| Phone: | 7656743321 |
| Fax: | 7656775167 |
Provider Mailing Location
3502 S MERIDIAN ST
MARION
IN
469534406
Provider Mailing Phone/Fax
| Phone: | 7652439144 |
| Fax: |