Elizabeth Wills, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

323648-31 Issued in WI

Practice address

1610 Miller Park Way
Milwaukee, WI 53214-3604

Phone

(414) 939-7556

NPI assigned

Feb 27, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Stewart Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1649737529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26905 OAKRIDGE DR",
            "city": "WIND LAKE",
            "state": "WI",
            "postal_code": "531851342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 MILLER PARK WAY",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532143604",
            "telephone_number": "414-939-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "ELIZABETH",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "323648-31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "STEWART",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Willowglen Academy - Howard
• Willowglen Academy Inc
• Willowglen Academy-Wisconsin, Inc (WGA Community Care)
• Willowglen Academy-Wisconsin, Inc.
• Willowglen Academy, Inc.
• Maura Catherine Wilman, M.S. CCC-SLP
• Santana Wilson-Coleman
• Alecya D Wilson, SAC-IT
• Amanda Leigh Wilson, M.D.
• Andrea Lynn Wilson, MS-CCC/SLP

• Licensed Practical Nurse in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.