Individual
STACY WILLIAMS
Active
Individual
STACY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
10439850-4405
UT
363L00000X
Nurse Practitioner
1-132538
AL
363LA2200X
Adult Health Nurse Practitioner
1-132538
AL
363LW0102X
Women's Health Nurse Practitioner
Primary
1-132538
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10439850-4405
STATE OF UTAH DEPARTMENT OF COMMERCE
UT
Enumeration date
09/19/2017
Last updated
08/26/2026
Update your record
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