Individual
TERRILYN WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4005 DUPONT CIR, LOUISVILLE, KY 40207-4801
(502) 897-7401
Mailing address
PO BOX 822337, PHILADELPHIA, PA 19182-2337
(866) 226-9156
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1039932
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74415779
—
KY
Enumeration date
10/02/2006
Last updated
07/08/2007
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