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

Rachel Willis

Individual provider Neonatal Nurse Practitioner · NPI 1073484747

Rachel Willis is a Nurse Practitioner in Salt Lake City, Utah. Qualified in 2025, 1 year ago. Licensed in Utah.

Years since qualifying
1
Licensed in
UT
In the registry since
2025

Practice location Address checks out

295 S Chipeta Way
Salt Lake City, UT 84108-1287
Phone: (801) 587-7400
Show map & directions

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

Specialties & licences

Neonatal Nurse Practitioner (primary) Taxonomy 363LN0000X · Licence 12149255-4405 (UT)

Record details

NPI number1073484747
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 16, 2025
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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