MEDICARE: CARSON ELIZABETH WILLIAMS APRN

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	363LF0000X	Family Nurse Practitioner	5022332	NC
2	163W00000X	Registered Nurse	314155	NC

General Provider Information

NPI Number	:	1356235758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARSON ELIZABETH WILLIAMS APRN

Provider Business Mailing Address
First Line	:	149 FARMERS FOLLY DR
Second Line	:
City	:	MOORESVILLE
State	:	NC
Zip	:	28117-8572
Country	:	US
Telephone Number	:	910-398-1183
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 LASH DR
Second Line	:
City	:	SALISBURY
State	:	NC
Zip	:	28147-9151
Country	:	US
Telephone Number	:	704-637-1182
Fax Number	:	704-637-9913

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

Provider Enumeration Date	:	06/09/2025
Last Update Date	:	12/10/2025

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