Individual provider · Type 1 NPI
Fred Spencer Willis Iii
Student in an Organized Health Care Education/Training Program · Metairie, LA
NPI number
1780387381
Active
Practice location
832 Oaklawn Dr
Metairie, LA 70005-1646
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1780387381
Fred Spencer Willis Iii's National Provider Identifier is 1780387381, issued on Mar 23, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Metairie, LA. The record was last updated on Mar 23, 2023.