Individual
KRISTIN NICOLE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1620 COOPER POINT RD SW, OLYMPIA, WA 98502-5736
(360) 486-6710
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP144282
TX
Other
Enumeration date
12/08/2019
Last updated
06/13/2023
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