Search › Idaho › 363LF0000X
Mark Willis, FNP
NPI 1154838886 · on the registry since 2018
Practice
- Address
- 1350 Cedar Lake Rd
Pocatello, ID 83204 - Phone
- (208) 705-2575
- Fax
- (208) 203-1348
- Organisation at this address
- Willis Health Care Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 777 Hospital Way, Pocatello, ID
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho