MR. Glen Willis, LPN is a licensed practical nurse in Coram, NY. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. MR. Glen Willis, LPN NPI is 1326585902. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1807 RUGBY PL APT B
CORAM, NY
ZIP 11727-427
Phone: (631) 627-9455
The enumeration date for this NPI number is 1/20/2017 and was last updated on 1/20/2017.