Individual
SAMANTHA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 421-1400
(508) 421-1490
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN2291233
MA
363L00000X
Nurse Practitioner
RN2291233
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2291233
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110181284A
—
MA
Enumeration date
11/02/2021
Last updated
11/17/2023
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