Individual provider · Type 1 NPI
Molly Willis
Psychiatric/Mental Health Nurse Practitioner · San Diego, CA
NPI number
1275921264
Active
Practice location
140 Arbor Dr
San Diego, CA 92103-2007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 95042597 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95004719 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1275921264
Molly Willis's National Provider Identifier is 1275921264, issued on Dec 30, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Diego, CA. The record was last updated on Dec 13, 2016.