Healthcare Provider Details

I. General information

NPI: 1770490708
Provider Name (Legal Business Name): NAOMI WILLIAMS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34300 S TALKEETNA SPUR
TALKEETNA AK
99676-9709
US

IV. Provider business mailing address

7831 SANDY PL
ANCHORAGE AK
99507-3037
US

V. Phone/Fax

Practice location:
  • Phone: 907-733-2273
  • Fax:
Mailing address:
  • Phone: 907-957-4287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number256605
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: