| Christin Brooke Willis, RD,LD | |
|
27371 S 4410 Rd, Vinita, OK 74301-7953 | |
| (918) 256-4800 | |
| Not Available |
| Full Name | Christin Brooke Willis |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 27371 S 4410 Rd, Vinita, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316303571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 2060 (Oklahoma) | Primary |
| Provider Name | Cherokee Nation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
| Mailing Address | Practice Location Address |
|---|---|
| Christin Brooke Willis, RD,LD 6908 N 440 Rd, Adair, OK 74330-3129 Ph: (918) 256-4800 | Christin Brooke Willis, RD,LD 27371 S 4410 Rd, Vinita, OK 74301-7953 Ph: (918) 256-4800 |
Emily Annemarie Mealin, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 27371 S 4410 Rd, Vinita, OK 74301 Phone: 918-256-4843 | |
Johanna Greenwood, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 27371 S 4410 Rd, Vinita, OK 74301 Phone: 918-256-4800 | |
Whitney Henry, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 27371 S 4410 Rd, Vinita, OK 74301 Phone: 918-256-4800 |