NPI 1003613316

Katelyn Rose Willis

Practitioner Family Nurse Practitioner Idaho Falls, ID

Practice location

Address: 3230 Nina Dr, Idaho Falls, ID 83404-7428
Phone: (208) 243-6077

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 4071550 (ID)

Other Nurse Practitioner providers in Idaho →

Registry record

NPI: 1003613316
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Feb 2025
Record last updated: 26 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.