STEPHANIE AUDRIANNA PHILLIPS MD NPI 1760943385

NPI Information

  • NPI: 1760943385
  • Provider Name: STEPHANIE AUDRIANNA PHILLIPS, MD
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 819 N SHIAWASSEE ST STE 110
    OWOSSO, MI
    ZIP 48867
  • Phone: (989) 723-1390

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NPI Details

Stephanie Audrianna Phillips, MD is a neurology psychiatry neurology in Owosso, MI with 7 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Stephanie Audrianna Phillips, MD NPI is 1760943385. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

819 N SHIAWASSEE ST STE 110
OWOSSO, MI
ZIP 48867-601
Phone: (989) 723-1390
Fax: (989) 725-1415

The NPI 1760943385 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 3/27/2019 and was last updated on 10/10/2024.

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
12084N0600XPsychiatry & NeurologyClinical Neurophysiology4301511940MICHIGANNo
22084N0400XPsychiatry & NeurologyNeurology4301511940MICHIGANYes

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
11760943385MEDICAIDMICHIGAN

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: 11/21/2025

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