Search › New Mexico › 363L00000X
La Juana Willis, CFNP
NPI 1306952932 · on the registry since 2006 · sole proprietor
Practice
- Address
- 600 Gallegos
Logan, NM 88426 - Phone
- (575) 487-9000
- Fax
- (575) 487-9002
- Organisation at this address
- Logan Family Practice, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LF0000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-10-21
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 New Mexico