Individual
KIA MARIE WILLIAMS EAGLETON
Active
Individual
KIA MARIE WILLIAMS EAGLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN ANP BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024171616
VA
363LA2200X
Adult Health Nurse Practitioner
26NN08813900
NJ
363LA2200X
Adult Health Nurse Practitioner
AC007562
MD
363LA2200X
Adult Health Nurse Practitioner
APRN11038918
FL
363LA2200X
Adult Health Nurse Practitioner
NP200001473
DC
363LA2200X
Adult Health Nurse Practitioner
TP005897X
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08813900
STATE LICENSE
NJ
05
—
1255392528
—
VA
Enumeration date
03/28/2006
Last updated
08/15/2025
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