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Individual

MONICA L AMOS WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-BC

Contact information

Practice address
5060 N 19TH AVE STE 111, PHOENIX, AZ 85015-3211
(979) 739-1490
Mailing address
5060 N 19TH AVE STE 111, PHOENIX, AZ 85015-3211
(979) 739-1490

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
892486
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
271476
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06977450
DRIVERS LICENSE
TX
Enumeration date
06/15/2022
Last updated
06/15/2022
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