Individual provider · Type 1 NPI
Shawndae Nicole Willis
Other Technician · Fort Worth, TX
NPI number
1073961272
Active
Practice location
9121 Saint Kitts Rd
Fort Worth, TX 76123-3523
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Technician Primary | 247200000X | 247200000X |
Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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About NPI 1073961272
Shawndae Nicole Willis's National Provider Identifier is 1073961272, issued on May 27, 2016. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Fort Worth, TX. The record was last updated on May 27, 2016.