Provider Demographics
NPI:1972486181
Name:PHILLIPP, ANNE
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:PHILLIPP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3031 LOGAN LN UNIT 9
Mailing Address - Street 2:
Mailing Address - City:ROCK CREEK
Mailing Address - State:OH
Mailing Address - Zip Code:44084-9447
Mailing Address - Country:US
Mailing Address - Phone:330-980-4759
Mailing Address - Fax:
Practice Address - Street 1:3031 LOGAN LN UNIT 9
Practice Address - Street 2:
Practice Address - City:ROCK CREEK
Practice Address - State:OH
Practice Address - Zip Code:44084-9447
Practice Address - Country:US
Practice Address - Phone:330-980-4759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker