Individual
MARRY LYNN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1850 N CENTRAL AVE, SUITE 1600, PHOENIX, AZ 85004-4527
(602) 262-8900
Mailing address
1850 N CENTRAL AVE, SUITE 1600, PHOENIX, AZ 85004-4527
(602) 262-8900
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
ARNP3281552
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0874
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009903565
—
AL
05
—
302591800
—
FL
01
—
430076420
RAILROAD MEDICARE
FL
01
—
59072104
BLUE CROSS & BLUE SHIELD
AL
01
—
G2365
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
08/15/2005
Last updated
03/12/2019
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