Mrs La Juana Dell Willis, CFNP is a medicare enrolled "Nurse Practitioner" in Logan, New Mexico. Her current practice location is
600 Gallegos, Logan, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(575) 487-9000.
Mrs La Juana Dell Willis is licensed to practice in New Mexico (license number CNP00145) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1306952932.
Provider's Profile
Full Name | Mrs La Juana Dell Willis |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 600 Gallegos, Logan, New Mexico |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs La Juana Dell Willis attended and graduated from in
NPI Data:
- NPI Number: 1306952932
- Provider Enumeration Date: 08/23/2006
- Last Update Date: 10/21/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs La Juana Dell Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306952932 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | CNP00145 (New Mexico) | Primary |
363LF0000X | Nurse Practitioner - Family | R14626 (New Mexico) | Secondary |
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. Mrs La Juana Dell Willis is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs La Juana Dell Willis, CFNP Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-6770 | Mrs La Juana Dell Willis, CFNP 600 Gallegos, Logan, NM 88426-7602 Ph: (575) 487-9000 |
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