Individual
KELLI WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 43503
HI
163WD0400X
Diabetes Educator Registered Nurse
CERT. NO. 2071-0327
HI
261QH0100X
Health Service Clinic/Center
APRN 375
HI
363L00000X
Nurse Practitioner
Primary
RX84
HI
363LF0000X
Family Nurse Practitioner
APRN 375
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000227959
HIUSA
HI
Enumeration date
02/27/2006
Last updated
04/18/2011
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