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:
Health care specialties
Specialty | Code | License # | 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 7 months ago |
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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