Individual
ALIKA MARIE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
852 N 500 W, PROVO, UT 84604-3322
(801) 357-4417
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6735974-4405
UT
Other
Enumeration date
02/16/2009
Last updated
12/01/2025
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