Individual provider · Type 1 NPI

Mary Miranda Willis, LPN

Licensed Practical Nurse · Dublin, OH

NPI number 1700185964 Active

Practice location

525 Metro Pl N Ste 100
Dublin, OH 43017-5343

Other practice locations

  • 303 Rellim Dr, Kent, OH 44240-4531 · (330) 431-2905

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000XPN131177 (OH)
Licensed Practical Nurse Primary 164W00000XLPN.131177.MEDS-IV (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 1700185964

Mary Miranda Willis, LPN's National Provider Identifier is 1700185964, issued on Mar 26, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Dublin, OH. The record was last updated on Feb 2, 2023.