Tina Willis, MA, RD, CD

NPI 1205166899 · on the registry since 2010

Practice

Address: 8402 Harcourt Rd
Ste 500
Indianapolis, IN 46260
Phone: (317) 871-0000
Fax: (317) 871-0010
Organisation at this address: Smm,Llc
Walgreen Co
Adam W. Brazus Md, Pc
Medical Service Company
Central Indiana Pet, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 185

Registry record

Primary taxonomy: 133V00000X
133V00000X
Licence states on file: IN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-01-05

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 Indiana