Individual
RACHEL WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 587-7400
Mailing address
3204 E ELGIN DR, SALT LAKE CITY, UT 84109-2208
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
12149255-4405
UT
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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