Doctor Name: | REBECCA WILLIAMS |
NPI Number: | 1316347354 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 0024171570 |
Business Practice Address: | 600 W Ridge Rd Wytheville, VA - 243821044 |
Business Phone Number: | 2762280200 |
Business Fax Number: | |
Mailing Address: | 600 W Ridge Rd, WYTHEVILLE |
State: | VA |
Postal Code: | 243821044 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/27/2014 |
NPI Last Update Date: | 08/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024171570 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |