Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIZABETH ADRIENNE WILLIS, RN, MS, PMHNP-BC
Active Sole ProprietorELIZABETH ADRIENNE WILLIS, RN, MS, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in CLOVERDALE, California. NPI 1104536549 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · CLOVERDALE, CA
Registration Details
- NPI Number
- 1104536549
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 28, 2022 (3.755030770028 yrs)
- Last Updated
- Nov 28, 2022
- Licenses
-
793320 (CA)95017303 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6 TARMAN DRCLOVERDALE, CA, 954253932Browse CA providers · Browse ZIP 95425
- Phone
- 7078944229
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.