BRIAN WESLEY WILLIS AGPCNP-BC NPI 1841007127

NPI Information

  • NPI: 1841007127
  • Provider Name: BRIAN WESLEY WILLIS, AGPCNP-BC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 555 E TACHEVAH DR STE 2W101
    PALM SPRINGS, CA
    ZIP 92262
  • Phone: (760) 320-6005

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NPI Details

Brian Wesley Willis, AGPCNP-BC is a primary care nurse practitioner in Palm Springs, CA with 2 years of experience. Brian Wesley Willis, AGPCNP-BC NPI is 1841007127. 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:

555 E TACHEVAH DR STE 2W101
PALM SPRINGS, CA
ZIP 92262-748
Phone: (760) 320-6005
Fax: (760) 323-5786

The NPI 1841007127 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 12/11/2024 and was last updated on 1/20/2025.

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
1363LP2300XNurse PractitionerPrimary Care95032580CALIFORNIAYes

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: 11/21/2025

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