Delta Willis

NPI 1164754305 - Registered Nurse - 163W00000X

NPI Details
NPI 1164754305
Gender Female
Enumeration Date 02/12/2010
Last Updated 02/12/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
832 SAINT NICHOLAS AVE
APT #3C
NEW YORK NY, 10031-1950, US
Phone (646) 283-3435
Fax
Business Location
832 SAINT NICHOLAS AVE
APT #3C
NEW YORK NY, 10031-1950, US
Phone (646) 283-3435
Fax
Toxanomy
Taxonomy Code 163W00000X
License State New York
License Number 560987-1
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According to our database, Delta Willis NPI is 1164754305, taxonomy code is 163W00000X and license number is 560987-1, license state is located at New York. Delta Willis physically located at 832 Saint Nicholas Ave, New York NY, 10031-1950. NPI Number Delta Willis has the Individual type.

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1164754305 NPI number is provided on an as is basis without warranty of any kind. 1164754305 is maintained by the National Plan & Provider Enumeration System. The contents of Delta Willis are for informational purposes only.