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Wade W Willis, LPN
Licensed Practical Nurse in Malone, New York
NPI 1164288395

Wade W Willis is a Licensed Practical Nurse based in Malone, NY. Wade W Willis practices in Malone, NY and has the professional credentials of LPN. The NPI Number for Wade W Willis is 1164288395 and holds a License No. 341789 (New York).

The current practice location address for Wade W Willis is 31 6Th St, Malone, NY and can be reached out via phone at 518-319-6825.

Location: 31 6Th St, Malone, NY, 12953-4502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164288395
Provider Name
Wade W Willis
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
31 6Th St, Malone, NY, 12953-4502
Phone Number
518-319-6825
Fax Number
Provider Enumeration Date
02/26/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
31 6Th St
City
Malone
State
New York
Zip
12953-1246
Phone Number
518-319-6825
Fax Number
person
Provider Business Mailing Address Details
Address
31 6Th St
City
Malone
State
New York
Zip
12953-1246
Phone Number
518-319-6825
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
341789 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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