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NPI Code Detail

MEDICARE: ANGELA WILLIAMS ARNP

MEDICARE: ANGELA WILLIAMS ARNP
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
1363L00000XNurse PractitionerARNP2910382FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ARNP2910382OTHERFLLICENCE

General Provider Information

NPI Number : 1184837361
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA WILLIAMS ARNP
Provider Business Mailing Address
First Line : 320 E 19TH STREET
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405
Country : US
Telephone Number : 850-769-2757
Fax Number : 850-769-2455
Provider Business Practice Location Address
First Line : 320 E 19TH ST
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-4718
Country : US
Telephone Number : 850-769-2757
Fax Number : 850-769-2455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2007
Last Update Date : 05/02/2008

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