Most Relevant Information
Provider Data
| NPI Number: | 1003351586 |
| Provider Name: | CHRISTINA M WILLS N.P. |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 3010911 |
Most Important Dates
| Enumeration Date: | 12/20/2016 |
| Last Updated: | 06/24/2019 |
Provider Practice Location
1107 CROWN POINTE DR STE 107
ELIZABETHTOWN
KY
427017280
Practice Location Phone/Fax
| Phone: | 2705063300 |
| Fax: | 2705062843 |
Provider Mailing Location
120 EXECUTIVE PARK
LOUISVILLE
KY
402074201
Provider Mailing Phone/Fax
| Phone: | 5029070356 |
| Fax: | 5029199780 |