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Individual

COREEN J WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
834 SHERIDAN ST, PORT TOWNSEND, WA 98368-2443
(360) 385-2200
Mailing address
834 SHERIDAN ST, PORT TOWNSEND, WA 98368-2443
(360) 385-2200

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60576934
WA
363L00000X
Nurse Practitioner
CW151039
MI
363LF0000X
Family Nurse Practitioner
Primary
AP60576934
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0F06016
MEDICARE BILL PAY TO
MI
05
2142185
WA
05
4873484
MI
Enumeration date
05/25/2006
Last updated
03/21/2026
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