Individual provider · Type 1 NPI

James Willis

Student in an Organized Health Care Education/Training Program · City Of Wilkes Barre, PA

NPI number 1982186268 Active

Practice location

133 N River St
City Of Wilkes Barre, PA 18702-2404

Mailing address

133 Pennwick Dr
Lititz, PA 17543-7628

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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.

4 other providers at this address

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About NPI 1982186268

James Willis's National Provider Identifier is 1982186268, issued on Sep 3, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in City Of Wilkes Barre, PA. The record was last updated on Sep 3, 2018.