Individual
MRS. EMMA WILLOUGHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
26224 N TATUM BLVD STE 1, PHOENIX, AZ 85050-7500
(480) 563-1111
(480) 563-3044
Mailing address
21807 N SCOTTSDALE RD, SCOTTSDALE, AZ 85255-7439
(480) 860-8488
(480) 860-8498
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
222627
AZ
363L00000X
Nurse Practitioner
Primary
222627
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173341
—
AZ
Enumeration date
09/01/2022
Last updated
06/10/2025
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