RAISHELLE LAVETTE WILLIS FNP-C NPI 1518440189

NPI Information

NPI: 1518440189
Provider Name: RAISHELLE LAVETTE WILLIS, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2695 MOCKINGBIRD LN
FLORISSANT, MO
ZIP 63031
Phone: (314) 520-4142
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Raishelle Lavette Willis, FNP-C is a family nurse practitioner in Florissant, MO. Raishelle Lavette Willis, FNP-C NPI is 1518440189. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2695 MOCKINGBIRD LN
FLORISSANT, MO
ZIP 63031-711
Phone: (314) 520-4142

The enumeration date for this NPI number is 9/10/2018 and was last updated on 9/10/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	2018027756	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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