Individual
ERICA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
580 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3088
(860) 243-8709
(860) 243-8259
Mailing address
580 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3088
(860) 243-8709
(860) 243-8259
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
6172
CT
363LA2200X
Adult Health Nurse Practitioner
006172
CT
363LF0000X
Family Nurse Practitioner
Primary
6172
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008061416
—
CT
01
—
6172
STATE OF CONNECTICUT
CT
Enumeration date
07/29/2015
Last updated
06/22/2021
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