Individual
RUTH ANN WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
16 PHILLIPS ST, MASSENA, NY 13662-2016
(315) 764-8076
Mailing address
42 CONGRESS ST, PO BOX 92, BRASHER FALLS, NY 13613
(870) 634-6353
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402952-01
NY
Other
Enumeration date
04/20/2020
Last updated
11/28/2023
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