Individual
NICOLE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5000
Mailing address
1405 VERGELAND DR, HOPE MILLS, NC 28348-7549
(715) 965-6009
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
741019
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
153000
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/23/2024
Last updated
05/05/2026
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