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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLA RAE WILLIS, MD

Active

CHARLA RAE WILLIS, MD is a Internal Medicine healthcare provider located in LEWISTON, Idaho. NPI 1497846091 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · LEWISTON, ID

Registration Details

NPI Number
1497846091
Provider Type
Individual
Gender
Female
NPI Issued
Sep 27, 2006 (19.892844931338 yrs)
Last Updated
Mar 7, 2016
Licenses
M9369 (ID)
MD00045264 (WA)
033594 (CT)
D0056472 (MD)

Practice Information

Address
2315 8TH ST
LEWISTON, ID, 835017301
Browse ID providers · Browse ZIP 83501
Phone
2087461383
Fax
2087466348
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine
Additional Specialty
Internal Medicine
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in LEWISTON, ID

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.