Individual
DEKETRA MCDOWELL-WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2000 WELLNESS WAY, LAS VEGAS, NV 89106-4113
(702) 384-5101
(702) 387-0104
Mailing address
PO BOX 81345, LAS VEGAS, NV 89180-1345
(702) 384-5101
(702) 382-5675
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN001767
NV
Other
Enumeration date
09/08/2014
Last updated
11/14/2019
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