Individual
VIDA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7504 BELMAR CT, BELTSVILLE, MD 20705-1394
(301) 873-0766
Mailing address
7504 BELMAR CT, BELTSVILLE, MD 20705-1394
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
R203267
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R203267
MD
Other
Enumeration date
04/09/2019
Last updated
12/23/2024
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