Individual
SANDRA K. WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
12655 OLIVE BLVD, 4TH FLOOR, SAINT LOUIS, MO 63141-6362
(314) 517-4832
(314) 851-4445
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 517-4832
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
061769
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
061769
MO
363LA2200X
Adult Health Nurse Practitioner
209-004555
IL
Other
Enumeration date
05/24/2007
Last updated
05/12/2011
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