Individual provider · Type 1 NPI

Lyle David Willock, RNFA, PA, ROPA-C

Clinical Nurse Specialist · Eden Prairie, MN

NPI number 1972619690 Active

Practice location

775 Prairie Center Dr, Suite 250
Eden Prairie, MN 55344-7314

Call (952) 944-2519 Map

Fax (952) 944-0460

Mailing address

6465 Wayzata Blvd, Suite 900
St. Louis Park, MN 55426-1728

Specialties and licenses

TaxonomyCodeLicense
Clinical Nurse Specialist Primary 364S00000XR0773991 (MN)

Clinical Nurse Specialist: A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.

21 other providers at this address

Other clinical nurse specialist providers in Eden Prairie

See all in Eden Prairie →

About NPI 1972619690

Lyle David Willock, RNFA, PA, ROPA-C's National Provider Identifier is 1972619690, issued on Aug 23, 2006. The primary taxonomy on file is Clinical Nurse Specialist (364S00000X), and the practice location is in Eden Prairie, MN. The record was last updated on Jul 11, 2007.