Individual provider · Type 1 NPI
Heidi Joonhee Kook-Willis, AGNP-C
Gerontology Nurse Practitioner · Austin, TX
NPI number
1952804650
Active
Practice location
12731 Research Blvd Ste 301C
Austin, TX 78759-4383
Mailing address
2100 E 10th St
Austin, TX 78702-3412
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | AP136938 (TX) |
Gerontology Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1952804650
Heidi Joonhee Kook-Willis, AGNP-C's National Provider Identifier is 1952804650, issued on Mar 9, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Austin, TX. The record was last updated on Mar 9, 2018.