Individual
JODY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 WESTRIDGE DR, WATERBURY, CT 06708-3337
(860) 985-0777
Mailing address
37 CREST ST, WATERBURY, CT 06708-2806
(860) 985-0777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R54831
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
5865
CT
Other
Enumeration date
05/14/2014
Last updated
12/22/2020
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