Individual
NATHANIEL B WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, RD, LDN
Contact information
Practice address
4018 PAUNACK AVE, MADISON, WI 53711-1625
(402) 681-7964
Mailing address
4018 PAUNACK AVE, MADISON, WI 53711-1625
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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