Individual provider · Type 1 NPI
Dallin Douglas Willes
Neonatal Nurse Practitioner · Provo, UT
NPI number
1104307198
Active
Practice location
1034 N 500 W
Provo, UT 84604-3380
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Nurse Practitioner Primary | 363LN0000X | 8281533-4405 (UT) |
Neonatal Nurse Practitioner: Definition to come...
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Other neonatal nurse practitioner providers in Provo
- Miriam Anne Bastian, APRNNeonatal Nurse Practitioner Provo, UT NPI 1043492838
- Jennifer Lee Jorgenson, APRNNeonatal Nurse Practitioner Provo, UT NPI 1174792352
- Kristy Kay Houser, APRNNeonatal Nurse Practitioner Provo, UT NPI 1245986165
- Kara Nichole Leavitt, NNP-BCNeonatal Nurse Practitioner Provo, UT NPI 1457174427
- Travis Dale Peterson, NPNeonatal Nurse Practitioner Provo, UT NPI 1467195552
- Jennifer R. Johnson, APRNNeonatal Nurse Practitioner Provo, UT NPI 1497271498
- Allison Showalter, APRNNeonatal Nurse Practitioner Provo, UT NPI 1699944876
- Ida Katrina Evans, RNNeonatal Nurse Practitioner Provo, UT NPI 1841949401
About NPI 1104307198
Dallin Douglas Willes's National Provider Identifier is 1104307198, issued on Aug 27, 2018. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Provo, UT. The record was last updated on Apr 12, 2022.