MARK WILLIS, FNP
Nurse Practitioner - Family
Active
Individual
NPI: 1154838886
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | 57490 (ID) |
Frequently Asked Questions
NPI 1154838886 is the National Provider Identifier for MARK WILLIS, FNP, a Nurse Practitioner - Family provider located in Pocatello, ID. This NPI was enumerated on January 3, 2018.
MARK WILLIS, FNP practices at 1350 CEDAR LAKE RD, Pocatello, ID 83204.
Quick Facts
- NPI
- 1154838886
- Type
- Individual
- Enumerated
- Jan 3, 2018
- Last Updated
- May 18, 2021
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