Individual
MICHELLE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
701 SAN MATEO BLVD NE, ALBUQUERQUE, NM 87108-1434
(505) 265-9511
Mailing address
9108 JENSEN CT NE, ALBUQUERQUE, NM 87112-2705
(717) 599-6544
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
60617
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03384233
—
NM
Enumeration date
04/05/2021
Last updated
09/29/2023
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