Individual
EMILY RUTH WILLIS
Active
Individual
EMILY RUTH WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN152509
AZ
363LW0102X
Women's Health Nurse Practitioner
1-124510
AL
363LW0102X
Women's Health Nurse Practitioner
Primary
1124510
AL
363LW0102X
Women's Health Nurse Practitioner
AP3047
AZ
Other
Enumeration date
07/24/2008
Last updated
07/01/2021
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