Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LA JUANA DELL WILLIS, CFNP
Active Sole ProprietorMRS. LA JUANA DELL WILLIS, CFNP is a Nurse Practitioner healthcare provider located in LOGAN, New Mexico. NPI 1306952932 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · LOGAN, NM
Registration Details
- NPI Number
- 1306952932
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 23, 2006 (19.973064935232 yrs)
- Last Updated
- Oct 21, 2019
- Licenses
-
CNP00145 (NM)R14626 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
600 GALLEGOSLOGAN, NM, 884267602Browse NM providers · Browse ZIP 88426
- Phone
- 5754879000
- Fax
- 5754879002
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Family 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.