MEDICARE: SHAWNDREA NICOLE WILLIS BS IN MATH

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1063702652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAWNDREA NICOLE WILLIS BS IN MATH

Provider Business Mailing Address
First Line	:	4828 SE 88TH TER
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73135-6306
Country	:	US
Telephone Number	:	580-235-2938
Fax Number	:

Provider Business Practice Location Address
First Line	:	4828 SE 88TH TER
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73135-6306
Country	:	US
Telephone Number	:	580-235-2938
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2011
Last Update Date	:	04/15/2011

Similar Medicare Providers

1396887154 — DR. MARI K HAYES PHD
Practice Location Address:

6306 WALNUT ST
KANSAS CITY, MO
64113-2314

Practice Phone: 734-673-0082
Practice Fax:

1952437196 — COOGAN CAREGIVERS LLC
Practice Location Address:

5113 ILCHESTER WOODS WAY
ELLICOTT CITY, MD
21043-6306

Practice Phone: 410-744-9175
Practice Fax: 443-276-6700

1528270683 — DR. RICHARD ABLOFF PHD ABPP
Practice Location Address:

6306 WALNUT ST
KANSAS CITY, MO
64113

Practice Phone: 816-444-7890
Practice Fax: 816-444-8802

1538338280 — MISS CHIYI LIN L.AC
Practice Location Address:

6306 SUMMERTIME LN
CULVER CITY, CA
90230-4579

Practice Phone: 310-202-1656
Practice Fax:

1972779361 — MS. STEPHANIE SUMMERS
Practice Location Address:

1594 KENILWORTH DR
CALUMET CITY, IL
60409-6306

Practice Phone: 773-425-8243
Practice Fax: 773-667-9622

1396984704 — MRS. ELENA RICCIO PUNZELL R.N.
Practice Location Address:

620 MEADOWRIDGE DR
ELLWOOD CITY, PA
16117-6306

Practice Phone: 724-752-9562
Practice Fax:

Directions to “ SHAWNDREA NICOLE WILLIS BS IN MATH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.