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MRS. CARMEN RENEE WILLIS NP-C
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1861979734
Individual Registrant:MRS. CARMEN RENEE WILLIS NP-C
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
495 COUNTY ROAD 971 CUSHING, TX 75760-3734 US
Tel: 936-652-3870 Fax: --
Tel: 936-652-3870 Fax: --
Contact information for business:
495 COUNTY ROAD 971 CUSHING, TX 75760-3734 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1861979734
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | TX | AP138180 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
