Individual
HOLLY M WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11725 N ILLINOIS ST, SUITE 265, CARMEL, IN 46032-3008
(317) 688-5100
(317) 688-5111
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28175224A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71004023A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201122700
—
IN
Enumeration date
02/13/2012
Last updated
11/25/2020
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