Brian Wesley Willis, AGPCNP-BC
Nurse Practitioner, Primary Care in Palm Springs, CA. Individual provider (NPI-1).
NPI number1841007127
StatusActive
Last updated in NPPESJan 20, 2025
Details
- NPI
- 1841007127
- Entity type
- Individual (NPI-1)
- Name
- Brian Wesley Willis
- Credential
- AGPCNP-BC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2024
- Certification date
- Jan 20, 2025
- Last updated
- Jan 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | 95032580 | CA | Yes |
Practice location
555 E Tachevah Dr Ste 2w101Palm Springs, CA 92262-5748
Phone 760-320-6005 · Fax 760-323-5786
Mailing address
5920 Brassie PlPalm Springs, CA 92264-6339
Phone 323-747-0470
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