IndividualActive
Crystal Willis
NPI 1093575102 · Attendant Care Provider · Greenwood, IN
Provider details
- NPI number
- 1093575102
- Entity type
- Individual
- Primary specialty
- Attendant Care ProviderNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 300079808 (IN)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
1263 Odell Ln
Greenwood, IN 46143-7966
Phone: (317) 794-6979
Approximate (ZIP-level) locationGet directions
Mailing address
1263 Odell Ln
Greenwood, IN 46143-7966
Registry dates
- Enumerated
- 2024-03-19
- Last updated
- 2024-03-19
- Certified
- 2024-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.