NPI 1003647603

Deanna Willis

Practitioner Licensed Vocational Nurse Salt Lake City, UT

Practice location

Address: 449 E 2100 S, Salt Lake City, UT 84115-2237
Phone: (801) 596-2111
Fax: (801) 359-3878

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence 337254 (TX)

Other Licensed Vocational Nurse providers in Utah →

Registry record

NPI: 1003647603
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Aug 2024
Record last updated: 13 Aug 2024

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.