Individual
BRANDON MICHAEL WILLIAMS
Active
Individual
BRANDON MICHAEL WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R093973
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
C003142
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1D7722
BCBS ARKANSAS
AR
05
—
214923001
—
AR
05
—
910084593
—
MO
Enumeration date
02/12/2016
Last updated
06/18/2021
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