Individual provider · Type 1 NPI
Susan Donna Willis, RN, FNP
Family Nurse Practitioner · Fair Oaks, CA
NPI number
1396080396
Active
Practice location
6608 Mercy Ct Ste C
Fair Oaks, CA 95628-3171
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 22615 (CA) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1396080396
Susan Donna Willis, RN, FNP's National Provider Identifier is 1396080396, issued on Dec 1, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fair Oaks, CA. The record was last updated on Dec 1, 2012.