Individual
HALEY WILLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
1802 E 2400 AVE, BROWNSTOWN, IL 62418-4111
(217) 343-8802
Mailing address
1802 E 2400 AVE, BROWNSTOWN, IL 62418-4111
(217) 343-8802
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
041453831
IL
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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