Doctor Name: | MRS. ANDREA L WILLIAMS |
NPI Number: | 1134221716 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNPC |
License Number: | ARNP3084972 |
Business Practice Address: | 699 W Cocoa Beach Cswy Suite 404 Cocoa Beach, FL - 329313577 |
Business Phone Number: | 3218682778 |
Business Fax Number: | 3218682748 |
Mailing Address: | Po Box 561600, ROCKLEDGE |
State: | FL |
Postal Code: | 329561600 |
Phone Number: | 3214344600 |
Fax Number: | 3212590635 |
NPI Enumeration Date: | 09/02/2006 |
NPI Last Update Date: | 05/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | ARNP3084972 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |