NPI 1124753819
Danielle J Willis
Practice location
- Address
- 1029 W 12th St, Bloomington, IN 47404
- Phone
- (812) 269-7950
- Mailing address
- 1029 W 12th St, Bloomington, IN 47404-3339
Registered specialties
Nurse's Aide
Primary
Registry record
- NPI
- 1124753819
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Jul 2022
- Record last updated
- 18 Jul 2022
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.