Individual
MS. STEPHANIE WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
6573
CT
363LC1500X
Community Health Nurse Practitioner
6573
CT
363LG0600X
Gerontology Nurse Practitioner
6573
CT
363LP2300X
Primary Care Nurse Practitioner
Primary
6573
CT
Other
Enumeration date
07/25/2016
Last updated
12/15/2023
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