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

Phillip Everett Willis

Individual provider Social Worker · NPI 1811713449

Phillip Everett Willis is a Social Worker in Ammon, Idaho. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2705 E 17th St
Ammon, ID 83406-6601
Phone: (208) 346-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1811713449
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 27, 2024
Last updated in NPPESNovember 27, 2024
Certification dateNovember 27, 2024
Mailing address2705 E 17th St, Ammon, ID 83406-6601

Other providers in Ammon