Individual
ANDREA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, APRN
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
51082
SC
363LA2200X
Adult Health Nurse Practitioner
20286
SC
Other
Enumeration date
10/13/2015
Last updated
10/03/2016
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