Whalio Doctors

NPI 1043367352

Maurice Nicholas Willis

Practitioner Child Mental Illness Respite Care Phoenix, AZ

Practice location

Address
1213 E Echo Ln, Phoenix, AZ 85020-3827
Phone
(602) 242-0842

Registered specialties

Child Mental Illness Respite Care Primary
Respite Care Facility Taxonomy 385HR2055X Licence 10990 (AZ)

Registry record

NPI
1043367352
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Jan 2007
Record last updated
8 Jul 2007

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.