Organization
PROVIDENCE FAMILY PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIANA ENANGA WILLIAMS NP (ARNP-C)
(405) 816-0053
Entity
Organization
Contact information
Practice address
1016 SW 44TH ST STE 400, OKLAHOMA CITY, OK 73109-3617
(405) 702-9050
Mailing address
1016 SW 44TH ST STE 400, OKLAHOMA CITY, OK 73109-3617
(405) 702-9050
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
R0058523
OK
363LF0000X
Family Nurse Practitioner
Primary
R0058523
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200087300A
—
OK
Enumeration date
08/31/2008
Last updated
06/24/2009
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