Provider Demographics
NPI:1164853073
Name:PHILIPS, PSYCHE LINNEA (NP-C)
Entity Type:Individual
Prefix:MS
First Name:PSYCHE
Middle Name:LINNEA
Last Name:PHILIPS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1748 MARKET ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-5800
Mailing Address - Country:US
Mailing Address - Phone:415-565-7667
Mailing Address - Fax:
Practice Address - Street 1:1748 MARKET ST
Practice Address - Street 2:SUITE 201
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-5800
Practice Address - Country:US
Practice Address - Phone:415-565-7667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-02
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23765363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health