Individual
MARY KATHERINE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2790 GODWIN BLVD, SUITE 360, SUFFOLK, VA 23434-8153
(757) 539-3911
(757) 925-0615
Mailing address
2790 GODWIN BLVD, SUITE 360, SUFFOLK, VA 23434-8151
(757) 539-3911
(757) 925-0615
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
0001174791
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821133174
—
VA
05
—
790259H
—
NC
Enumeration date
11/02/2011
Last updated
02/07/2013
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