Individual
CATHERINE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2400 N ORANGE BLOSSOM TRL STE 203, KISSIMMEE, FL 34744-2307
(407) 932-6204
Mailing address
2400 N ORANGE BLOSSOM TRL STE 203, KISSIMMEE, FL 34744-2307
(407) 928-1843
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11004253
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11004253
FL
Other
Enumeration date
10/01/2019
Last updated
01/15/2020
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