Individual
MS. CANDACE LYNN WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
411 WESTWOOD DR, WAUSAU, WI 54401-4152
(715) 847-2558
(715) 261-6452
Mailing address
411 WESTWOOD DR, WAUSAU, WI 54401-4152
(715) 847-2558
(715) 261-6452
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041319033
IL
367500000X
Certified Registered Nurse Anesthetist
041319033
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
11608-33
WI
Other
Enumeration date
07/08/2011
Last updated
12/03/2021
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