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NPI Code Detail

MEDICARE: ANGELA R WILLIAMS NP

MEDICARE: ANGELA R 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
1163W00000XRegistered Nurse118482MO
2363L00000XNurse Practitioner2018002576MO
3363L00000XNurse PractitionerM0097977OK

General Provider Information

NPI Number : 1700392537
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA R WILLIAMS NP
Provider Business Mailing Address
First Line : PO BOX 1832
Second Line :
City : PITTSBURG
State : KS
Zip : 66762-1832
Country : US
Telephone Number : 620-240-4353
Fax Number : 417-845-6976
Provider Business Practice Location Address
First Line : 106 NW VETERANS BLVD
Second Line :
City : MIAMI
State : OK
Zip : 74354-1818
Country : US
Telephone Number : 918-238-3074
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2017
Last Update Date : 04/11/2022

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Directions to “ ANGELA R WILLIAMS NP” Practice Location

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