Individual provider · Type 1 NPI

Danine Theresa Willis, APRN

Nurse Practitioner · Overbrook, KS

NPI number 1710953559 Active

Practice location

4807 E 181st St
Overbrook, KS 66524-9505

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XA004899 (AR)
Family Nurse Practitioner 363LF0000X2004033676 (MO)
Nurse Practitioner Primary 363L00000X53-44929 (KS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

About NPI 1710953559

Danine Theresa Willis, APRN's National Provider Identifier is 1710953559, issued on Feb 23, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Overbrook, KS. The record was last updated on Mar 12, 2026.