Individual
AMELIA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
23 SUNNYBROOK RD, RALEIGH, NC 27610-1855
(919) 250-3478
Mailing address
23 SUNNYBROOK RD, RALEIGH, NC 27610-1855
(919) 250-3478
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1012636
TX
363LP0200X
Pediatric Nurse Practitioner
283152
NC
Other
Enumeration date
08/14/2019
Last updated
10/28/2022
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