Doctor Name: | ANNETTE DIANE WILLIAMSON |
NPI Number: | 1003127143 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP, FNP |
License Number: | 53-75136-052 |
Business Practice Address: | 636 Tauromee Ave Kansas City, KS - 661013042 |
Business Phone Number: | 9133212626 |
Business Fax Number: | |
Mailing Address: | 4301 Nw 51st St, KANSAS CITY |
State: | MO |
Postal Code: | 641513263 |
Phone Number: | 8165051662 |
Fax Number: | |
NPI Enumeration Date: | 06/23/2010 |
NPI Last Update Date: | 06/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 53-75136-052 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |