Individual provider · Type 1 NPI

Matthew Joseph Willis, APN

Nurse Practitioner · Peoria, IL

NPI number 1942857545 Active

Practice location

1001 Main St Ste 200
Peoria, IL 61606-2035

Call (309) 672-5682 Map

Fax (309) 672-3147

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209019778 (IL)

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…

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About NPI 1942857545

Matthew Joseph Willis, APN's National Provider Identifier is 1942857545, issued on Aug 20, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Peoria, IL. The record was last updated on Aug 20, 2019.