MRS. La Juana Dell Willis, CFNP
NPI #1306952932 in Logan, New Mexico
Provider Information
- NPI Number
- 1306952932
- Entity Type
- Individual
- Name
- MRS. La Juana Dell Willis, CFNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Credential
- CFNP
- Enumeration Date
- Aug 23, 2006
- Last Updated
- Oct 21, 2019
Practice Location
- Address
- 600 GALLEGOS
- City
- Logan
- State
- New Mexico
- ZIP Code
- 88426-7602
- Phone
- (575) 487-9000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Nurse Practitioner - Family — Family |
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