Individual
MS. KELLEY ERIN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
484758
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
10251
CA
364SP0200X
Pediatric Clinical Nurse Specialist
10251
CA
Other
Enumeration date
06/03/2013
Last updated
10/18/2015
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