Willis, Susan Donna

Willis, Susan Donna is an individual health care provider with primary practice located at 6608 Mercy Ct Ste C , Fair Oaks CA 95628-3171. 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, Susan Donna can be contacted via phone (916) 966-8585.

Contact Information

Primary practice address
6608 Mercy Ct Ste C Fair Oaks CA 95628-3171
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 22615 California

Profile Details

NPI number 1396080396
LBN Legal business name Willis, Susan Donna
Credentials RN, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2012
Last updated Dec 1st, 2012 - about 12 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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