Individual
SHANNEL WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1664 E 14TH ST, BROOKLYN, NY 11229-1155
(929) 273-7601
Mailing address
1664 E 14TH ST, BROOKLYN, NY 11229-1155
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403965
NY
Other
Enumeration date
06/17/2022
Last updated
06/20/2022
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