Individual
MRS. KERRY ANN WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., A.P.R.N.
Contact information
Practice address
935 MAIN ST, WATKINS CENTER, SUITE C2, MANCHESTER, CT 06040-6059
(860) 646-2525
(860) 646-9680
Mailing address
15 KIMBERLY DR, MANCHESTER, CT 06040-6813
(860) 533-1148
(860) 646-9680
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
000890
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004199205
—
CT
01
—
400000890CT01
ANTHEM BLUE CROSS
CT
Enumeration date
03/27/2007
Last updated
03/18/2013
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