IndividualActive
Michael Willsey, RN
NPI 1073303897 · Prevention Professional · Elmira, NY
Provider details
- NPI number
- 1073303897
- Entity type
- Individual
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 495439 (NY)
Specialties & taxonomies
Other Service Providers
Practice location
100 Washington St
Elmira, NY 14901-2849
Phone: (607) 737-4700
Approximate (ZIP-level) locationGet directions
Mailing address
1115 Richard St
Elmira, NY 14904-2720
Registry dates
- Enumerated
- 2025-05-07
- Last updated
- 2025-05-07
- Certified
- 2025-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.