MEDICARE: BRENDA MAY WILLIAMS NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	CNP251133	ME

General Provider Information

NPI Number	:	1104716026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA MAY WILLIAMS NP

Provider Business Mailing Address
First Line	:	17 HIGH ST
Second Line	:
City	:	LEWISTON
State	:	ME
Zip	:	04240-7614
Country	:	US
Telephone Number	:	207-795-2440
Fax Number	:	207-795-2444

Provider Business Practice Location Address
First Line	:	17 HIGH ST
Second Line	:
City	:	LEWISTON
State	:	ME
Zip	:	04240-7614
Country	:	US
Telephone Number	:	207-795-2440
Fax Number	:	207-795-2444

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2025
Last Update Date	:	07/03/2025

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