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Individual

DE ANNE MARY WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
500 SUPERIOR AVE STE 310, NEWPORT BEACH, CA 92663-3609
(949) 644-2722
Mailing address
2345 SKYLINE DR, BREA, CA 92821-4542
(714) 392-1527

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
95019467
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95019467
FURNISHING LICENSE
CA
Enumeration date
03/11/2022
Last updated
02/01/2023
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