Provider Demographics
NPI:1265623136
Name:PHILLIPS, ELIZABETH MURPHY (NP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MURPHY
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 CANDY CRAIG DR
Mailing Address - Street 2:
Mailing Address - City:CALHOUN
Mailing Address - State:LA
Mailing Address - Zip Code:71225-8661
Mailing Address - Country:US
Mailing Address - Phone:318-644-1766
Mailing Address - Fax:318-649-2353
Practice Address - Street 1:8064 HIGHWAY 165
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:LA
Practice Address - Zip Code:71418-3396
Practice Address - Country:US
Practice Address - Phone:318-649-6766
Practice Address - Fax:318-649-2353
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP05273363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily