What is Glen Willis's NPI number?

Glen Willis's National Provider Identifier (NPI) is 1326585902, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Glen Willis's specialty?

Glen Willis is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).

Where is Glen Willis located?

Glen Willis's practice location on file with NPPES is 1807 Rugby Pl Apt B, Coram, NY 11727-5427.

What is Glen Willis's phone number?

The practice phone number listed in the NPPES registry for Glen Willis is (631) 627-9455.

Is Glen Willis's NPI active?

Yes — Glen Willis's NPI (1326585902) is active in the NPPES registry as of the last update on 2017-01-20.

IndividualActive

Glen Willis, LPN

NPI 1326585902 · Licensed Practical Nurse · Coram, NY

Glen Willis, LPN is a Licensed Practical Nurse provider in Coram, NY (NPI 1326585902).

Provider details

NPI number: 1326585902
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Credential: LPN
Sex: Male
Sole proprietor: Yes
License: 310633-1 (NY)

Specialties & taxonomies

Licensed Practical NursePrimary164W00000XLicense 310633-1 (NY)
Nursing Service Providers

Profile Score

Established profile(70/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
9 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1807 Rugby Pl Apt B

Coram, NY 11727-5427

Phone: (631) 627-9455

Street-level locationGet directions

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Mailing address