Mikel W. Phillips, CRNA
CRNA (Nurse Anesthetist) · Mountain Home A F B, ID
UnclaimedCRNANPI 1831185081
- Primary taxonomy
- 367500000X
- Enumerated
- 2005-09-23
- Practice location
- Mountain Home A F B, ID
- Last NPPES update
- 2018-01-25
State licenses
- IL · Nurse practitioner · ADVANCED PRACTICE REGISTERED NURSEActivethrough 2028
- IL · Registered nurse · REGISTERED PROFESSIONAL NURSEActivethrough 2028
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.