Individual ProviderDana WillisRegistered NurseNursing Service ProvidersPractice Address490 N Grape St, Escondido, CA 92025-3079(760) 975-9939PECOS EnrollmentBased on the most recent information from CMS, provider Dana Willis does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1790582385Provider TypeIndividualFull NameWillis, DanaGenderFemaleSole ProprietorNoEnumeration Date2/28/2025Last Updated2/28/2025Contact InformationPractice LocationPractice Address490 N Grape St, Escondido, CA 92025-3079Phone(760) 975-9939FaxUnlisted FaxMailing LocationMailing Address490 N Grape St, Escondido, CA 92025-3079Phone(760) 975-9939FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense95409208California