Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brooke Willis

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1467905059

Brooke Willis is a Student in an Organized Health Care Education/Training Program in Provo, Utah. Licensed in Utah. Registered with an NPI since 2016.

Licensed in
UT
In the registry since
2016
Specialties on file
2

Practice location Address checks out

750 N Freedom Blvd
Provo, UT 84601-1677
Phone: (801) 373-4760
Fax: (801) 373-0639
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 10375300-3502 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1467905059
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 29, 2016
Last updated in NPPESMay 30, 2017
Mailing address750 N 200 W, Provo, UT 84604-7510

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