Mark Willis, FNP is a family nurse practitioner in Pocatello, ID with 7 years of experience. Mark Willis, FNP NPI is 1154838886. 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:
1350 CEDAR LAKE RD
POCATELLO, ID
ZIP 83204-946
Phone: (208) 705-2575
Fax: (208) 203-1348
The NPI 1154838886 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 1/3/2018 and was last updated on 5/18/2021.