# WILLA ROSE SHIELDS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1609005156
- **Gender:** F
- **Credential:** APN, FMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 204380 | LA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | A03301 | AR | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | C-APN.0102212-C-NP | CO | Yes |

## Other

- **Enumeration date:** 07/06/2009
- **Last updated:** 03/13/2025