TANYA RENEE WILLIS NPI 1891345070

NPI Information

  • NPI: 1891345070
  • Provider Name: TANYA RENEE WILLIS
  • Classification: Registered Nurse - 163WG0000X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 19166 LA QUINTA PL
    APPLE VALLEY, CA
    ZIP 92308
  • Phone: (760) 887-0477

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NPI Details

Tanya Renee Willis is a general practice registered nurse in Apple Valley, CA with 7 years of experience. Tanya Renee Willis NPI is 1891345070. 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:

19166 LA QUINTA PL
APPLE VALLEY, CA
ZIP 92308-700
Phone: (760) 887-0477

The NPI 1891345070 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 9/19/2019 and was last updated on 6/27/2025.

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
1163WG0000XRegistered NurseGeneral Practice802219CALIFORNIAYes

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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