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Individual

EMILY RUTH WILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
540 HUGHES RD STE 8, MADISON, AL 35758-8959
(704) 451-1928
Mailing address
540 HUGHES RD STE 8, MADISON, AL 35758-8959
(704) 451-1928

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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