Individual provider · Type 1 NPI
Tyler Willis, DNP, NP
Acute Care Nurse Practitioner · Coupeville, WA
NPI number
1689340515
Active
Practice location
121 N Main St
Coupeville, WA 98239
Mailing address
4840 Davis Rd
Southaven, MS 38671-9635
Other practice locations
- 130 W Ravine Rd, Kingsport, TN 37660-3837 · (423) 224-4000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | AP61540212 (WA) |
| Acute Care Nurse Practitioner | 363LA2100X | 29874 (TN) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | AP61540212 (WA) |
Acute Care Nurse Practitioner: Definition to come...
Other acute care nurse practitioner providers in Coupeville
About NPI 1689340515
Tyler Willis, DNP, NP's National Provider Identifier is 1689340515, issued on Aug 19, 2021. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Coupeville, WA. The record was last updated on Apr 22, 2024.