DEANNA WILLIS
NPI 1003647603
Licensed Vocational Nurse in Salt Lake City, UT

Q: What is the provider's specialty?

The provider's specialty is Licensed Vocational Nurse with taxonomy code 164X00000X.

Active since August 13, 2024

449 E 2100 S, SALT LAKE CITY, UT 84115(801) 596-2111(801) 359-3878 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Deanna Willis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEANNA WILLIS (NPI 1003647603) is an individual licensed vocational nurse in Salt Lake City, Utah, licensed in Texas (337254) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1003647603

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameDEANNA WILLIS

Location Address449 E 2100 SSalt Lake City, UT 84115-2237

Mailing Address449 E 2100 SSalt Lake City, UT 84115-2237 · (801) 596-2111 · Fax (801) 359-3878

Phone(801) 596-2111

Fax(801) 359-3878

Sole ProprietorNo

Enumeration DateAugust 13, 2024

NPPES CertifiedAugust 13, 2024

✔ NPI 1003647603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in TX · 337254

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

449 E 2100 S, Salt Lake City, UT 84115

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