Individual
MRS. CAROL LYNN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN-FNP
Contact information
Practice address
1144 65TH ST STE F, OAKLAND, CA 94608-1053
(510) 929-1400
(510) 929-1414
Mailing address
PO BOX 511250, LOS ANGELES, CA 90051-7805
(510) 929-1400
(510) 929-1414
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
784478
CA
363LF0000X
Family Nurse Practitioner
Primary
95002798
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95002798
BRN
CA
Enumeration date
01/23/2012
Last updated
11/10/2023
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