Individual
KRISTA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2700 STATE ST, BISMARCK, ND 58503-0669
(701) 221-9152
(701) 221-0918
Mailing address
2700 STATE ST, BISMARCK, ND 58503-0669
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L14672
ND
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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