Individual
MEGAN LEIGH WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
995 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5588
(812) 353-3060
(812) 353-3070
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28154980A
IN
363LF0000X
Family Nurse Practitioner
Primary
71014226A
IN
Other
Enumeration date
03/01/2023
Last updated
11/06/2023
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