Individual provider · Type 1 NPI

Shirley Vernetha Willis Iii, REGISTERED NURSE

Registered Nurse · Blue Island, IL

NPI number 1285929620 Active

Practice location

13136 Western Ave
Blue Island, IL 60406-2423

Fax (708) 371-0466

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X041-161525 (IL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1285929620

Shirley Vernetha Willis Iii, REGISTERED NURSE's National Provider Identifier is 1285929620, issued on Jun 14, 2011. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Blue Island, IL. The record was last updated on Jun 23, 2011.