Individual
MICHAELE ANNETTE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1301 N 47TH ST, KANSAS CITY, KS 66102-1705
(913) 287-0007
(913) 287-0354
Mailing address
708 5TH ST, BOX 968, BALDWIN CITY, KS 66006-6908
(913) 287-0007
(913) 287-0354
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
13-45391-102
KS
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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