Individual
REBECCA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
175 TARRYTOWN RD, WHITE PLAINS, NY 10607-1607
(914) 761-6566
Mailing address
1 MARTINE AVE PH 1117, WHITE PLAINS, NY 10606-4618
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
421560
NY
Other
Enumeration date
03/06/2022
Last updated
03/06/2022
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