Kimberly Y Willis NP-C, BSN

NPI 1164601514 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1164601514
Gender Female
Enumeration Date 11/01/2007
Last Updated 11/01/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
51 PERFORMANCE DR
WEYMOUTH MA, 02189-3104, US
Phone (781) 331-9091
Fax
Business Location
51 PERFORMANCE DR
WEYMOUTH MA, 02189-3104, US
Phone (781) 331-9091
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Massachusetts
License Number 232381
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According to our database, Mrs. Kimberly Y Willis NP-C, BSN NPI is 1164601514, taxonomy code is 363L00000X and license number is 232381, license state is located at Massachusetts. Kimberly Y Willis NP-C, BSN physically located at 51 Performance Dr, Weymouth MA, 02189-3104. NPI Number Kimberly Y Willis NP-C, BSN has the Individual type.

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1164601514 NPI number is provided on an as is basis without warranty of any kind. 1164601514 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Y Willis NP-C, BSN are for informational purposes only.