LATANYA MARIA WILLIS FNP NPI 1225235005

NPI Information

NPI: 1225235005
Provider Name: LATANYA MARIA WILLIS, FNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
9675 W CAMELBACK RD
PHOENIX, AZ
ZIP 85037
Phone: (844) 646-3247
Get Directions

Latanya Maria Willis, FNP is a psychiatric/mental health nurse practitioner in Phoenix, AZ with 12 years of experience. Latanya Maria Willis, FNP NPI is 1225235005. 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:

9675 W CAMELBACK RD
PHOENIX, AZ
ZIP 85037-667
Phone: (844) 646-3247

The NPI 1225235005 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 6/27/2007 and was last updated on 9/29/2023.

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	163WP0200X	Registered Nurse	Pediatrics	330479	OHIO	No
2	363LF0000X	Nurse Practitioner	Family	832010	TEXAS	No
3	163WM0705X	Registered Nurse	Medical-Surgical	330479	OHIO	No
4	363LF0000X	Nurse Practitioner	Family	AP8888	ARIZONA	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP8888	ARIZONA	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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