Katelyn Rose Willis
NPI #1003613316 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1003613316
- Entity Type
- Individual
- Name
- Katelyn Rose Willis
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Feb 26, 2025
- Last Updated
- Feb 26, 2025
Practice Location
- Address
- 3230 NINA DR
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7428
- Phone
- (208) 243-6077
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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