IndividualActive
Mallorie Willis, APRN, CNM
NPI 1720830102 · Advanced Practice Midwife · Louisville, KY
Provider details
- NPI number
- 1720830102
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN, CNM
- Sex
- Female
- Sole proprietor
- No
- License
- CNM9215 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4123 Dutchmans Ln Ste 507
Louisville, KY 40207-4730
Phone: (502) 423-9595
Fax: (502) 719-0161
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 776351
Chicago, IL 60677-6351
Additional practice locations (1)
- 1455 Webb LnBedford, KY 40006-8746Phone: (502) 663-1873
Registry dates
- Enumerated
- 2024-04-01
- Last updated
- 2024-06-27
- Certified
- 2024-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.