Individual
KATHERINE OTECCA WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
3801 N LAMAR BLVD, AUSTIN, TX 78756-4080
(512) 407-7000
Mailing address
751 CHERICO ST UNIT 2, AUSTIN, TX 78702-4002
(737) 247-6551
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
AP143657
TX
Other
Enumeration date
08/11/2020
Last updated
08/02/2022
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