Search › Washington › 363LA2100X
Tyler Willis, DNP, NP
NPI 1689340515 · on the registry since 2021
Practice
- Address
- 121 N Main St
Coupeville, WA 98239 - Phone
- (360) 678-5151
Additional practice sites
- 130 W Ravine Rd, Kingsport, TN
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 363L00000X
363LA2100X - Licence states on file
- WA, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington