Willis, Carlene
Willis, Carlene is an individual health care provider with primary practice located at 264 N Highland Springs Ave Ste 4 , Banning CA 92220-3082. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Willis, Carlene can be contacted via phone (951) 769-0079.Contact Information
Primary practice address
264 N Highland Springs Ave Ste 4
Banning CA 92220-3082
Phone: (951) 769-0079
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95008027 | California |
Profile Details
| NPI number | 1740796358 |
|---|---|
| LBN Legal business name | Willis, Carlene |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2017 |
| Last updated | Dec 19th, 2017 - about 7 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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