MEDICARE: WILLS FAMILY HEALTH NP PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1326999624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLS FAMILY HEALTH NP PLLC

Provider Business Mailing Address
First Line	:	19 E AVON DR
Second Line	:
City	:	AMITYVILLE
State	:	NY
Zip	:	11701-2023
Country	:	US
Telephone Number	:	516-450-6096
Fax Number	:

Provider Business Practice Location Address
First Line	:	19 E AVON DR
Second Line	:
City	:	AMITYVILLE
State	:	NY
Zip	:	11701-2023
Country	:	US
Telephone Number	:	516-450-6096
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANDEAN WILLS
Credential	:	NP
Telephone Number	:	516-450-6096

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	04/09/2026

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