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Ms. Katherine Robin Willems, FNP
Family Nurse Practitioner in Clearlake, California
NPI 1134393069

Katherine Robin Willems is a Family Nurse Practitioner based in Clearlake, CA and is specialized in Family. Katherine Robin Willems practices in Clearlake, CA and has the professional credentials of FNP. The NPI Number for Katherine Robin Willems is 1134393069 and holds a License No. 404784-7693 (California).

The current practice location address for Katherine Robin Willems is 15230 Lakeshore Dr, Clearlake, CA and can be reached out via phone at 707-995-4500.

Location: 15230 Lakeshore Dr, Clearlake, CA, 95422-8107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134393069
Provider Name
Katherine Robin Willems
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
15230 Lakeshore Dr, Clearlake, CA, 95422-8107
Phone Number
707-995-4500
Fax Number
Provider Enumeration Date
04/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1134393069 01 CA NPI NUMBER
institution
Provider Business Practice Location Address Details
Address
15230 Lakeshore Dr
City
Clearlake
State
California
Zip
95422-8107
Phone Number
707-995-4500
Fax Number
person
Provider Business Mailing Address Details
Address
15230 Lakeshore Dr
City
Clearlake
State
California
Zip
95422-8107
Phone Number
707-995-4500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
404784-7693 (California)
Definition
Definition to come...
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