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Diane Willis
Case Management Registered Nurse in Sunrise, Florida
NPI 1578216123

Diane Willis is a Case Management Registered Nurse based in Sunrise, FL and is specialized in Case Management. Diane Willis practices in Sunrise, FL. The NPI Number for Diane Willis is 1578216123 and holds a License No. NR06724700 (Florida).

The current practice location address for Diane Willis is 1391 Nw 136Th Ave, Sunrise, FL and can be reached out via phone at 609-964-9492.

Location: 1391 Nw 136Th Ave, Sunrise, FL, 33323-2800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578216123
Provider Name
Diane Willis
Credential
Provider Entity Type
Individual
Gender
Female
Address
1391 Nw 136Th Ave, Sunrise, FL, 33323-2800
Phone Number
609-964-9492
Fax Number
Provider Enumeration Date
02/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1391 Nw 136Th Ave
City
Sunrise
State
Florida
Zip
33323-2800
Phone Number
609-964-9492
Fax Number
person
Provider Business Mailing Address Details
Address
1391 Nw 136Th Ave
City
Sunrise
State
Florida
Zip
33323-2800
Phone Number
609-964-9492
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Case Management
Taxonomy
163WC0400X
License No.
NR06724700 (New Jersey)
Definition
Definition to come...
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