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Individual
WILLA ROSE SHIELDS
Active
Individual
WILLA ROSE SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, FMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
204380
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
A03301
AR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
C-APN.0102212-C-NP
CO
Other
Enumeration date
07/06/2009
Last updated
03/13/2025
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