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Individual

DENA M WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NNP

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
612850
TX
363LN0000X
Neonatal Nurse Practitioner
Primary
AP117769
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
381513602
TX
01
P02600068
MCRR
TX
Enumeration date
05/09/2011
Last updated
04/12/2021
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