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Individual

RYAN WILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
3130 SQUALICUM PKWY STE 100, BELLINGHAM, WA 98225-1940
(360) 671-4509
(360) 756-5184
Mailing address
3610 MERIDIAN ST, BELLINGHAM, WA 98225-1732
(360) 318-8800
(360) 318-1085

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ15571600
NJ
363LF0000X
Family Nurse Practitioner
86832
NM
363LF0000X
Family Nurse Practitioner
95034813
CA
363LF0000X
Family Nurse Practitioner
Primary
AP61395684
WA
363LF0000X
Family Nurse Practitioner
F357288-01
NY

Other

Enumeration date
01/16/2023
Last updated
06/10/2026
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