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

Corshanae Davene Willis

Individual provider Licensed Vocational Nurse · NPI 1891379574

Corshanae Davene Willis is a Licensed Vocational Nurse in Culver City, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

9808 Venice Blvd Ste 700
Culver City, CA 90232-6824
Phone: (310) 945-3350
Show map & directions

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

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 709506 (CA)

Record details

NPI number1891379574
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 10, 2021
Last updated in NPPESMay 10, 2021
Certification dateMay 10, 2021

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