Provider Demographics
NPI:1760071997
Name:PHILLIPS, AMANDA BROOKE (CPM, CPD, CBE)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:BROOKE
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:CPM, CPD, CBE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7261 S BROADWAY STE 103
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-8018
Mailing Address - Country:US
Mailing Address - Phone:303-999-0234
Mailing Address - Fax:
Practice Address - Street 1:7261 S BROADWAY STE 103
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-8018
Practice Address - Country:US
Practice Address - Phone:303-999-0234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174H00000XOther Service ProvidersHealth Educator
No176B00000XOther Service ProvidersMidwife