MEDICARE: MRS. TREESA WILLIAMSON CRNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	12.013004	CT
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	SP026787	PA
3	363L00000X	Nurse Practitioner	SP014874	PA
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	TPAN633	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598159824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TREESA WILLIAMSON CRNP

Provider Business Mailing Address
First Line	:	6 DICKINSON DR STE 107
Second Line	:
City	:	CHADDS FORD
State	:	PA
Zip	:	19317-9689
Country	:	US
Telephone Number	:	610-361-9500
Fax Number	:	610-361-9501

Provider Business Practice Location Address
First Line	:	161 CECIL B MOORE AVE APT 204
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19122-3243
Country	:	US
Telephone Number	:	215-585-2144
Fax Number	:

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

Provider Enumeration Date	:	03/25/2015
Last Update Date	:	12/09/2025

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