Brian Wesley Willis, AGPCNP-BC
Brian Wesley Willis, AGPCNP-BC is a Nurse Practitioner in Palm Springs, California. Qualified in 2024, 2 years ago. Practices with Palm Springs Urology Medical Group PC, a 2-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 2
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
555 E Tachevah Dr Ste 2W101Palm Springs, CA 92262-5748
Phone: (760) 320-6005
Fax: (760) 323-5786
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence 95032580 (CA) |
|---|
Record details
| NPI number | 1841007127 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | AGPCNP-BC |
| Sole proprietor | No |
| NPI enumerated | December 11, 2024 |
| Last updated in NPPES | January 20, 2025 |
| Certification date | January 20, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Palm Springs Urology Medical Group Pc — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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