Individual
MARTHA W WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
3333 BURNET AVE, ML 2004, CINCINNATI, OH 45229-3039
(513) 636-4770
(513) 636-3847
Mailing address
3333 BURNET AVE, ML 5021, CINCINNATI, OH 45229-3039
(513) 636-2039
(866) 851-6567
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.06563-NP
OH
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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