Willis, Amanda

Willis, Amanda is an sole proprietor health care provider with primary practice located at 1621 Lakeville Dr Ste 304 , Kingwood TX 77339-2694. She recently has only one registered license in Nursing Service Providers / Lactation Consultant, which is considered as her primary health care specialty. Willis, Amanda can be contacted via phone (281) 305-0411.

Contact Information

Primary practice address
1621 Lakeville Dr Ste 304 Kingwood TX 77339-2694
Fax: (281) 572-0627
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Lactation Consultant 163WL0100X L-305357 Virginia
Nursing Service Providers / Lactation Consultant 163WL0100X 780850 Texas

Profile Details

NPI number 1134871775
LBN Legal business name Willis, Amanda
Credentials RN IBCLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2022
Last updated Jan 25th, 2022 - about 2 years 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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