Individual
VICTORIA WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2060 MID CAMPUS DR, WICHITA, KS 67208-0630
(316) 978-4792
Mailing address
PO BOX 8335, WICHITA, KS 67208-0335
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53-84076-061
KS
Other
Enumeration date
02/22/2025
Last updated
02/22/2025
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