Individual provider · Type 1 NPI

Constance Willis

Licensed Practical Nurse · Liberty Township, OH

NPI number 1174925796 Active

Practice location

6454 Sauterne Dr
Liberty Township, OH 45011-5283

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN-138477-IV-M (OH)

Licensed Practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1174925796

Constance Willis's National Provider Identifier is 1174925796, issued on Sep 25, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Liberty Township, OH. The record was last updated on Sep 25, 2014.