Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LYLE DAVID WILLOCK, RNFA, PA, ROPA-C
Active Sole ProprietorLYLE DAVID WILLOCK, RNFA, PA, ROPA-C is a Clinical Nurse Specialist healthcare provider located in EDEN PRAIRIE, Minnesota. NPI 1972619690 is currently active in the NPPES registry. Verify at CMS.
Clinical Nurse Specialist · EDEN PRAIRIE, MN
Registration Details
- NPI Number
- 1972619690
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 23, 2006 (19.931609155563 yrs)
- Last Updated
- Jul 11, 2007
- License
-
R0773991 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
775 PRAIRIE CENTER DRSUITE 250EDEN PRAIRIE, MN, 553447314Browse MN providers · Browse ZIP 55344
- Phone
- 9529442519
- Fax
- 9529440460
- Primary Specialty
-
Clinical Nurse Specialist
364S00000X
Other Clinical Nurse Specialist Providers in EDEN PRAIRIE, MN
| Name | Credential | NPI |
|---|---|---|
| MS. MARY MARGARET ANDERSEN | APRN, CNS, MSN | 1033285564 |
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.