National Provider Identifier
Misty Lynn Willis, FNP
Misty Lynn Willis, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 442-8422.
Profile Overview
- NPI
- 1437499290
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- February 15, 2013
- Last Updated
- July 24, 2020
Practice Location
- 556 Clinton Ave S
- Rochester, NY 14620-1105
Phone: (585) 442-8422
Mailing Address
- 9827 Tobermory Ave
- Clarence, NY 14031-2509
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1437499290
- Entity Type
- Individual
- Last Name
- Willis
- First Name
- Misty
- Middle Name
- Lynn
- Credential
- FNP
- Mailing Street Address
- 9827 Tobermory Ave
- Mailing City
- Clarence
- Mailing State
- NY
- Mailing ZIP Code
- 14031-2509
- Mailing Country
- US
- Practice Street Address
- 556 Clinton Ave S
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-1105
- Practice Country
- US
- Practice Phone
- (585) 442-8422
- Enumeration Date
- February 15, 2013
- Last Updated
- July 24, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 24, 2020
- Taxonomies
- Family Nurse Practitioner (363LF0000X)