KATELYN ROSE WILLIS

IDAHO FALLS, ID
NPI1003613316
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  4071550)
Enumeration Date2025-02-26
Last Update Date2025-02-26
Business Address
KATELYN ROSE WILLIS
3230 NINA DR
IDAHO FALLS, ID 83404-7428
Phone number: 208-243-6077
Mailing Address
KATELYN ROSE WILLIS
3230 NINA DR
IDAHO FALLS, ID 83404-7428
Phone number: 208-243-6077