Individual
TANYA WILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, WHNP-BC, IBCLC
Contact information
Practice address
948 COLUMBUS AVE, #2S, NEW YORK, NY 10025-3109
(347) 512-9550
Mailing address
948 COLUMBUS AVE, #2S, NEW YORK, NY 10025-3109
(347) 512-9550
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
680229-1
NY
367A00000X
Advanced Practice Midwife
Primary
001692
NY
Other
Enumeration date
04/23/2010
Last updated
12/19/2015
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