Provider Demographics
NPI:1235434986
Name:WILLS, DEBORAH MARIE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:MARIE
Last Name:WILLS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
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Mailing Address - Street 1:357 WEKIVA SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-3607
Mailing Address - Country:US
Mailing Address - Phone:321-280-5867
Mailing Address - Fax:407-774-1877
Practice Address - Street 1:357 WEKIVA SPRINGS RD
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-3607
Practice Address - Country:US
Practice Address - Phone:321-280-5867
Practice Address - Fax:407-774-1877
Is Sole Proprietor?:No
Enumeration Date:2011-01-11
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL1946652363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics