Individual
PATRICIA ANN WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
503 N MAPLE ST, EFFINGHAM, IL 62401-2006
(217) 347-1586
Mailing address
503 N MAPLE ST, EFFINGHAM, IL 62401-2006
(217) 347-1586
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041-170878
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031633
COUNCIL ON RECERTIFICATIO
IL
01
—
041170878
RN LICENSE
IN
Enumeration date
01/26/2007
Last updated
10/06/2007
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