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MS. PHYLLIS ANN WILLIS CRNA NPI 1912916677


NPI Information

NPI: 1912916677
Provider Name: MS. PHYLLIS ANN WILLIS, CRNA
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Individual
Address:
404 N KEENE ST
COLUMBIA, MO
ZIP 65201
Phone: (573) 875-9224
Get Directions

MS. Phyllis Ann Willis, CRNA is a nurse anesthetist certified registered in Columbia, MO. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. MS. Phyllis Ann Willis, CRNA NPI is 1912916677. 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:

404 N KEENE ST
COLUMBIA, MO
ZIP 65201-626
Phone: (573) 875-9224
Fax: (573) 875-9284

The enumeration date for this NPI number is 8/5/2006 and was last updated on 7/15/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1367500000XNurse Anesthetist, Certified Registered108842MISSOURIYes
2367500000XNurse Anesthetist, Certified RegisteredR0032281OKLAHOMANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1914449004MEDICAIDMISSOURI
2P00400212OTHERMISSOURIRAIL ROAD MEDICARE

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

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