Smith, Willis

Smith, Willis is an individual health care provider with primary practice located at 751 Lombardi Ct , Santa Rosa CA 95407-6798. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Behavioral Health & Social Service Providers / Professional. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Smith, Willis can be contacted via phone (707) 303-6000.

Contact Information

Primary practice address
751 Lombardi Ct Santa Rosa CA 95407-6798
Phone: (707) 303-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 28278 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95017534 California
Behavioral Health & Social Service Providers / Professional 101YP2500X P1701203 Arkansas

Profile Details

NPI number 1861882847
LBN Legal business name Smith, Willis
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2015
Last updated Feb 2nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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