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Individual

MRS. VANESSA RENEE' WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
200 HWY 30 W, NEW ALBANY, MS 38652-3112
(662) 538-2370
Mailing address
1515 COUNTY ROAD 515, MYRTLE, MS 38650
(662) 416-3791

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R870112
MS
367500000X
Certified Registered Nurse Anesthetist
APN0000022493
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
R870112
MS

Other

Enumeration date
11/03/2009
Last updated
07/13/2017
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