Mark Willis, FNP

NPI #1154838886 in Pocatello, Idaho

Provider Information

NPI Number
1154838886
Entity Type
Individual
Name
Mark Willis, FNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
FNP
Enumeration Date
Jan 3, 2018
Last Updated
May 18, 2021

Practice Location

Address
1350 CEDAR LAKE RD
State
Idaho
ZIP Code
83204-4946
Phone
(208) 705-2575

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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