Individual
CHANTELL WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
402 LAKE CASCADE PKWY, CASCADE, ID 83611-7702
(208) 382-4285
Mailing address
PO BOX 1330, CASCADE, ID 83611-1330
(208) 382-4285
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1026308
TX
363L00000X
Nurse Practitioner
NP-1732A
ID
363LF0000X
Family Nurse Practitioner
Primary
NP-1732A
ID
Other
Enumeration date
04/20/2016
Last updated
11/20/2025
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