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Search › Alaska › 363LF0000X

Micah Willis, FNP

NPI 1659567832 · on the registry since 2007

Practice

Address
1001 S Knik Goose Bay Rd
Wasilla, AK 99654
Phone
(907) 631-7800
Organisation at this address
Southcentral Foundation
Southcentral Foundation
Southcentral Foundation
Southcentral Foundation
Southcentral Foundation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
101

Additional practice sites

  • 1815 Old Ocilla Rd, Tifton, GA

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
AK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-02-24

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 Alaska