NPI
Beau Willis
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- DPM
- Type
- Individual
- Enumeration date
- 2014-04-15
- Last updated
- 2024-06-18
Specialties
Licenses
- License LA
- 307117
Location
- Practice location
- 2520 Harvard Ave Fl 1
- City
- Metairie LA
- Postal code
- 70001-1172
- Phone
- (504) 454-3004
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Metairie, LA. 7,176 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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