Individual
GLORIA WILLIAMSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4651 SW NACKMAN TER, 4015 SW MELBOURNE ST, PORT SAINT LUCIE, FL 34953-5581
(772) 204-2177
Mailing address
4651 SW NACKMAN TER, PORT SAINT LUCIE, FL 34953-5581
(772) 204-2177
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP9243012
FL
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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