Individual
GINA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP- BC
Contact information
Practice address
16620 N 40TH ST STE E1, PHOENIX, AZ 85032-3357
(602) 464-9576
Mailing address
4801 E MCDOWELL RD STE 250, PHOENIX, AZ 85008-7725
(602) 464-9576
(480) 428-0475
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
282716
AZ
Other
Enumeration date
10/24/2022
Last updated
10/11/2023
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