MR. RYAN GREGORY PHILLIPS APRN NPI 1336655455

NPI Information

NPI: 1336655455
Provider Name: MR. RYAN GREGORY PHILLIPS, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2893 EXECUTIVE PARK DR STE 304
WESTON, FL
ZIP 33331
Phone: (954) 303-9700
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MR. Ryan Gregory Phillips, APRN is a family nurse practitioner in Weston, FL. MR. Ryan Gregory Phillips, APRN NPI is 1336655455. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2893 EXECUTIVE PARK DR STE 304
WESTON, FL
ZIP 33331-667
Phone: (954) 303-9700

The NPI 1336655455 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/27/2017 and was last updated on 7/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		ARNP9350866	FLORIDA	No
2	363LF0000X	Nurse Practitioner	Family	ARNP9350866	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ARNP9350866	OTHER	FLORIDA	FL BOARD OF NURSING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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