Individual
DEREK LEE SCOTT WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3233 E SUNSHINE ST STE 100, SPRINGFIELD, MO 65804-2106
(417) 812-8149
Mailing address
3233 E SUNSHINE ST STE 100, SPRINGFIELD, MO 65804-2106
(417) 812-8149
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021013081
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487001517
—
MO
Enumeration date
03/18/2021
Last updated
04/18/2022
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