Deanna Willis, is a
Licensed Vocational Nurse based in Salt Lake City, Utah. Deanna Willis is licensed to practice in Texas (license number 337254) and her current practice location is
449 E 2100 S, Salt Lake City, Utah. She can be reached at her office (for appointments etc.) via phone at
(801) 596-2111.
NPI number for Deanna Willis is 1003647603 and her current mailing address is 449 E 2100 S, Salt Lake City, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003647603.
Provider's Profile
Full Name | Deanna Willis |
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Gender | Female |
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Speciality | Licensed Vocational Nurse |
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Location | 449 E 2100 S, Salt Lake City, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003647603
- Provider Enumeration Date: 08/13/2024
- Last Update Date: 08/13/2024
Medical Identifiers
Medical identifiers for Deanna Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003647603 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | 337254 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deanna Willis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Deanna Willis, 449 E 2100 S, Salt Lake City, UT 84115-2237 Ph: (801) 596-2111 | Deanna Willis, 449 E 2100 S, Salt Lake City, UT 84115-2237 Ph: (801) 596-2111 |
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