Individual
MRS. ANGELA LYNNE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3300 S ASPEN AVE STE B, BROKEN ARROW, OK 74012-7501
(918) 455-4140
(918) 455-0170
Mailing address
3300 S ASPEN AVE STE B, BROKEN ARROW, OK 74012-7501
(918) 455-4140
(918) 455-0170
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20111693
OK
363LP0200X
Pediatric Nurse Practitioner
86448
OK
Other
Enumeration date
10/04/2012
Last updated
03/10/2022
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