Individual
MARY ELLEN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1416 E A ST, S 101, CASPER, WY 82601-2276
(307) 577-8600
(307) 577-8605
Mailing address
1416 E A ST, S 101, CASPER, WY 82601-2276
(307) 577-8600
(307) 577-8605
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8993-1079
WY
Other
Enumeration date
10/22/2010
Last updated
11/15/2010
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