Individual provider · Type 1 NPI

Kira Willis

Licensed Vocational Nurse · Escondido, CA

NPI number 1104733492 Active

Practice location

161 N Date St
Escondido, CA 92025-3405

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X762840 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1104733492

Kira Willis's National Provider Identifier is 1104733492, issued on Aug 25, 2026. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Escondido, CA. The record was last updated on Aug 25, 2026.