Individual
MS. TERRI ANNE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
9105 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-3930
(410) 574-1330
(410) 574-2691
Mailing address
851 MANHATTAN AVE, BROOKLYN, NY 11222-2539
(718) 752-7280
(718) 752-1837
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
304203
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
R238735
MD
Other
Enumeration date
01/07/2009
Last updated
06/25/2019
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