IndividualActive
Sara Willis
NPI 1346997582 · Advanced Practice Midwife · Pocatello, ID
Provider details
- NPI number
- 1346997582
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 55396 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1350 Cedar Lake Rd
Pocatello, ID 83204-4946
Phone: (208) 201-2784
Approximate (ZIP-level) locationGet directions
Mailing address
1350 Cedar Lake Rd
Pocatello, ID 83204-4946
Registry dates
- Enumerated
- 2022-03-08
- Last updated
- 2022-03-08
- Certified
- 2022-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.