WILLIS HEALTH CARE PLLC
NPI 1447847538
Nurse Practitioner - Family in Pocatello, ID

Active since December 23, 2020
1350 CEDAR LAKE RD, POCATELLO, ID 83204(208) 705-2575(208) 203-1348 Get Directions Write a Review

NPPES record last updated: December 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Willis Health Care Pllc NPPES

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

WILLIS HEALTH CARE PLLC (NPI 1447847538) is a healthcare organization registered as a family in Pocatello, Idaho and active in the NPI registry since December 2020. The organization lists Mark G Willis, Owner, as its authorized official.

NPPES Registry Identity

NPI1447847538
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameWILLIS HEALTH CARE PLLC
Location Address1350 CEDAR LAKE RDPocatello, ID 83204-4946
Mailing Address1350 Cedar Lake RdPocatello, ID 83204-4946 · (208) 705-2575 · Fax (208) 203-1348
Fax(208) 203-1348
Organization SubpartNo
Authorized OfficialMark G WillisOwner · (208) 705-2575
Enumeration DateDecember 23, 2020
NPPES CertifiedDecember 23, 2020
NPI 1447847538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1350 CEDAR LAKE RD, Pocatello, ID 83204

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1350 CEDAR LAKE RD
POCATELLO, ID 83204
Advanced Practice Midwife
1350 CEDAR LAKE RD
POCATELLO, ID 83204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willis Health Care PLLC's NPI number?

The NPI number for Willis Health Care PLLC is 1447847538. It was assigned to this organization in the NPPES registry on December 23, 2020.

Where is Willis Health Care PLLC located?

Willis Health Care PLLC is located at 1350 Cedar Lake Rd, Pocatello, ID 83204. The listed phone number is (208) 705-2575.

What is Willis Health Care PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Willis Health Care PLLC was last updated on December 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.