Individual
STACEY ANNE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1360 S BERETANIA ST, HONOLULU, HI 96814-1520
(808) 210-4444
Mailing address
94-1169 KUKULA ST, WAIPAHU, HI 96797-5261
(801) 368-8508
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN-1406
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/15/2021
Last updated
01/09/2024
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