LISA WILLETTE - NPI 1639039415 - Licensed Practical Nurse in Coralville, IA

Q: What is Lisa Willette's NPI number?

The NPI number for Lisa Willette is 1639039415. It was assigned to this individual provider in the NPPES registry on November 14, 2025.

Q: What is Lisa Willette's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Willette was last updated on November 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Lisa Willette NPPES

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

LISA WILLETTE (NPI 1639039415) is an individual licensed practical nurse in Coralville, Iowa, licensed in Iowa (P36063) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1639039415

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameLISA WILLETTE

Location Address2213 2ND STCoralville, IA 52241-1205

Mailing Address2213 2nd StCoralville, IA 52241-1205 · (319) 338-0581

Phone(319) 358-2406

Sole ProprietorYes

Enumeration DateNovember 14, 2025

NPPES CertifiedNovember 14, 2025

✔ NPI 1639039415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in IA · P36063

Definition

A licensed practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.

2213 2ND ST, Coralville, IA 52241

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