Individual
MS. GAIL Y WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,DNP, CRNP
Contact information
Practice address
111 S 11TH ST, BODINE CENTER, PHILADELPHIA, PA 19107
(215) 955-6702
(215) 955-0412
Mailing address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-6702
(215) 955-0412
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00141500
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
SP009816
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102866670
—
PA
Enumeration date
08/28/2007
Last updated
03/03/2015
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