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TARA MULVEY PHILLIPS CRNP
NPI 1104476605
Nurse Practitioner - Primary Care in Philadelphia, PA

Active since September 17, 2019
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(203) 710-4883 Get Directions Write a Review

NPPES record last updated: September 17, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tara Mulvey Phillips Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA MULVEY PHILLIPS CRNP (NPI 1104476605) is an individual primary care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP020108) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1104476605
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameTARA MULVEY PHILLIPSCredential: CRNP
Location Address3401 CIVIC CENTER BLVDPhiladelphia, PA 19104-4319
Mailing Address1621 Valley Greene RdPaoli, PA 19301-1032 · (203) 710-4883
Phone(203) 710-4883
Sole ProprietorYes
Enumeration DateSeptember 17, 2019
✔ NPI 1104476605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in PA · SP020108
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Phillips's NPI number?

The NPI number for Tara Phillips is 1104476605. It was assigned to this individual provider in the NPPES registry on September 17, 2019.

Where is Tara Phillips located?

Tara Phillips practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (203) 710-4883.

What is Tara Phillips's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Tara Phillips was last updated on September 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.