Individual
AMBER WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-4910
Mailing address
5727 OAKSHORE CT, BURKE, VA 22015-2252
(678) 267-5152
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN203340
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
0024792577
VA
Other
Enumeration date
08/28/2013
Last updated
06/10/2025
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