National Provider Identifier

Michael Scott Willsey, RN

Michael Scott Willsey, RN is listed in the NPPES registry with a primary specialty of Prevention Professional in Elmira, NY and a listed phone number of (607) 737-4700.

NPI 1073303897Elmira, NYPrevention Professional

Profile Overview

NPI
1073303897
Provider Type
Individual
Primary Specialty
Prevention Professional
Enumeration Date
May 07, 2025
Last Updated
May 07, 2025

Practice Location

  • 100 Washington St
  • Elmira, NY 14901-2849

Phone: (607) 737-4700

Mailing Address

  • 1115 Richard St
  • Elmira, NY 14904-2720

Specialties

  • Prevention Professional (405300000X)
Full Record
NPI
1073303897
Entity Type
Individual
Last Name
Willsey
First Name
Michael
Middle Name
Scott
Credential
RN
Mailing Street Address
1115 Richard St
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14904-2720
Mailing Country
US
Mailing Phone
(607) 333-0772
Practice Street Address
100 Washington St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-2849
Practice Country
US
Practice Phone
(607) 737-4700
Enumeration Date
May 07, 2025
Last Updated
May 07, 2025
Sex
Male
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
May 07, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Prevention Professional (405300000X)