Individual provider · Type 1 NPI
Katelyn Rose Willis
Family Nurse Practitioner · Idaho Falls, ID
NPI number
1003613316
Active
Practice location
3230 Nina Dr
Idaho Falls, ID 83404-7428
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4071550 (ID) |
Family Nurse Practitioner: Definition to come...
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About NPI 1003613316
Katelyn Rose Willis's National Provider Identifier is 1003613316, issued on Feb 26, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Idaho Falls, ID. The record was last updated on Feb 26, 2025.