Individual
MOLLY WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 ARBOR DR, SAN DIEGO, CA 92103-2007
(619) 543-7795
Mailing address
140 ARBOR DR, SAN DIEGO, CA 92103-2007
(619) 543-6699
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95042597
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95004719
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95004719
CALIFORNIA BOARD OF REGISTERED NURSING
CA
01
—
95042597
CALIFORNIA BOARD OF REGISTERED NURSING
CA
Enumeration date
12/30/2014
Last updated
12/13/2016
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