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

Tanika Renee Willis

Individual provider Licensed Practical Nurse · NPI 1770312639

Tanika Renee Willis is a Licensed Practical Nurse in Albany, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

75 New Scotland Ave
Albany, NY 12208-3474
Phone: (518) 549-6935
Fax: (518) 549-6958
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 280025 (NY)

Record details

NPI number1770312639
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 30, 2024
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024
Mailing address75 New Scotland Ave, Albany, NY 12208-3474

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