Individual
DR. CHARLENE RUTH WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, PSYD
Contact information
Practice address
670 PLACERVILLE DR STE 1B, PLACERVILLE, CA 95667-4200
(530) 621-6290
(530) 622-1293
Mailing address
5221 DAVIDSON RD, PLACERVILLE, CA 95667-9704
(530) 642-2388
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
318213
CA
363LF0000X
Family Nurse Practitioner
883891
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
883891
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP957Z
PTAN
CA
Enumeration date
01/30/2007
Last updated
06/24/2025
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