Willis, Mary Louise

Willis, Mary Louise is an individual health care provider with primary practice located at 400 E 5Th Ave , Spokane WA 99202-1334. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Willis, Mary Louise can be contacted via phone (509) 838-2531.

Contact Information

Primary practice address
400 E 5Th Ave Spokane WA 99202-1334
Phone: (509) 838-2531
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30007042 Washington

Profile Details

NPI number 1891775623
LBN Legal business name Willis, Mary Louise
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Nov 25th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891775623 NPPES
Washington MEDICAID 9648585

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