Provider Demographics
NPI:1225617467
Name:NORA PHILLIPS LLC
Entity Type:Organization
Organization Name:NORA PHILLIPS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NORA
Authorized Official - Middle Name:A
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:808-778-7286
Mailing Address - Street 1:2622 NONOHE ST
Mailing Address - Street 2:
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786-2843
Mailing Address - Country:US
Mailing Address - Phone:808-778-7286
Mailing Address - Fax:808-278-6398
Practice Address - Street 1:935 CALIFORNIA AVE STE B17
Practice Address - Street 2:
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786-2166
Practice Address - Country:US
Practice Address - Phone:808-778-7286
Practice Address - Fax:808-278-6398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty