Individual
ICELA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1509 DULLES DR, LAFAYETTE, LA 70506-3718
(337) 991-9276
(337) 991-9288
Mailing address
1509 DULLES DR, LAFAYETTE, LA 70506-3718
(337) 991-9276
(337) 991-9288
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP09004
LA
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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