Provider Demographics
NPI:1760457170
Name:BEIER-PHILLIPS, STEPHANIE A (MSN)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:A
Last Name:BEIER-PHILLIPS
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 S CLEVELAND AVE.
Mailing Address - Street 2:STE D
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-8958
Mailing Address - Country:US
Mailing Address - Phone:614-865-7600
Mailing Address - Fax:614-392-2546
Practice Address - Street 1:550 S CLEVELAND AVE
Practice Address - Street 2:STE D
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-8958
Practice Address - Country:US
Practice Address - Phone:614-865-7600
Practice Address - Fax:614-392-2546
Is Sole Proprietor?:No
Enumeration Date:2006-02-20
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP07425363LW0102X
OHAPRNCNP072425363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2475076Medicaid