Willis, Laura M

Willis, Laura M is an individual health care provider with primary practice located at 200 Medical Center Dr Ste 200 , Springfield OH 45504-2688. 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, Laura M can be contacted via phone (937) 523-9050.

Contact Information

Primary practice address
200 Medical Center Dr Ste 200 Springfield OH 45504-2688
Phone: (937) 523-9050
Fax: (937) 523-9059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA 15786-NP Ohio

Profile Details

NPI number 1467863555
LBN Legal business name Willis, Laura M
Credentials DNP, APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2014
Last updated Mar 3rd, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467863555 NPPES
Ohio MEDICAID 0104805

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