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

Mary Patricia Willms

Individual provider Registered Dietitian · NPI 1710174420

Mary Patricia Willms is a Registered Dietitian in Espanola, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2007

Practice location Address checks out

620 Coronado St
Espanola, NM 87532
Phone: (505) 753-7395
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence LD-0659 (NM)

Record details

NPI number1710174420
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 26, 2007
Last updated in NPPESSeptember 26, 2007
Mailing address2185 44th St, Apt. D, Los Alamos, NM 87544-1750

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