MEDICARE: MAUREEN ELIZABETH SUTHERLAND-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	363LF0000X	Family Nurse Practitioner	APRN-NP338636	GA
2	363LF0000X	Family Nurse Practitioner	F11210806	MD

General Provider Information

NPI Number	:	1932804622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAUREEN ELIZABETH SUTHERLAND-WILLIAMS NP

Provider Business Mailing Address
First Line	:	25 CROSSROADS DR STE 205
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-5533
Country	:	US
Telephone Number	:	410-602-7792
Fax Number	:	410-602-9889

Provider Business Practice Location Address
First Line	:	3240 S COBB DR SE STE 800
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30080-4112
Country	:	US
Telephone Number	:	470-604-4361
Fax Number	:	800-339-9897

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

Provider Enumeration Date	:	04/03/2023
Last Update Date	:	12/19/2025

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