Mrs. Crystal Ann Willis
Rehabilitation Practitioner
2821 White Peaks Ave
N Las Vegas
, Nevada 89081-2437
Mrs. Crystal Ann Willis
Rehabilitation Practitioner
2821 White Peaks Ave
N Las Vegas
, Nevada 89081-2437
(702) 205-6162
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About
Features
Specialties
- Rehabilitation Practitioner
Languages spoken
- English
Location
First Address
- Mrs. Crystal Ann Willis
- 2821 White Peaks Ave
- N Las Vegas, NV
- Zip : 89081-2437
- Phone : (702) 205-6162
Second Address
- Mrs. Crystal Ann Willis
- 2821 White Peaks Ave
- N Las Vegas, NV
- Zip : 89081-2437
- Phone : (702) 205-6162
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Is Mrs. Crystal Ann Willis a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner |
National Provider Identifier
| NPI | 1013211911 |
|---|---|
| Provider Name | Mrs. Crystal Ann Willis |
| First Address | N Las Vegas, NV 89081-2437 |
| Second Address | N Las Vegas, NV 89081-2437 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/01/2011 |
| Last Update Date | 06/01/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.