Individual
DR. CAITLIN WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4588 PARADISE BLVD NW, VIRTUAL PRIMARY CARE, ALBUQUERQUE, NM 87114-4105
(505) 923-2070
(505) 998-1710
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD198119
OR
207Q00000X
Family Medicine Physician
Primary
MD2024-1190
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500710241
—
OR
Enumeration date
03/20/2016
Last updated
01/28/2025
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