Individual
KATIE BURNETT WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
142 S MAIN ST, DANVILLE, VA 24541-2922
(434) 799-4474
(434) 799-4408
Mailing address
142 S MAIN ST, DANVILLE, VA 24541-2922
(434) 799-4474
(434) 799-4408
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024169525
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12264299
CAQH
—
Enumeration date
08/22/2011
Last updated
08/22/2011
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