Elizabeth Reaves Willis in Shreveport - Nurse Practitioner

Elizabeth Reaves Willis - NPI 1083817969

Elizabeth Reaves Willis is a Nurse Practitioner in Shreveport, Louisiana. Elizabeth Reaves Willis practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Elizabeth Reaves Willis is 1083817969. The last update date is 2015-05-27.

Elizabeth Reaves Willis's current location address is Po Box 51008, Shreveport, Louisiana. You can contact this provider via phone number 3187989400 and fax number 3187983894. The mailing address for Elizabeth Reaves Willis is Po Box 51008, Shreveport, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Elizabeth Reaves Willis
Address Po Box 51008, Shreveport, Louisiana
Phone Number 3187989400
Fax Number 3187983894
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1083817969
Provider Enumeration Date 2007-06-07
Last Updated Date 2015-05-27

Provider Mailing Address Detail

Address Po Box 51008
City Shreveport
State Louisiana (LA)
Post Code 711351008
Phone Number 3187989400
Fax Number 3187983894

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No AP03281
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1544094 LA --

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FAQs about Elizabeth Reaves Willis

What is the Elizabeth Reaves Willis's unique identification number?

The Elizabeth Reaves Willis has been assigned the NPI (National Provider Identifier) Number 1083817969 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Elizabeth Reaves Willis is physically located?

The Elizabeth Reaves Willis is situated at the following address: Po Box 51008, Shreveport, LA 711351008.

What is Elizabeth Reaves Willis's area of expertise and its corresponding taxonomy classification?

The Elizabeth Reaves Willis's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.

When did the Elizabeth Reaves Willis receive its 1083817969?

The Elizabeth Reaves Willis was issued its 1083817969 on 2007-06-07, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Elizabeth Reaves Willis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Elizabeth Reaves Willis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-05-27.

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