Healthcare Provider Details

I. General information

NPI: 1538526603
Provider Name (Legal Business Name): CYNTHIA CROSBY WILLIAMS CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2016
Last Update Date: 05/08/2023
Certification Date: 05/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3058 MOBILE HWY
MONTGOMERY AL
36108-4027
US

IV. Provider business mailing address

3058 MOBILE HWY
MONTGOMERY AL
36108-4027
US

V. Phone/Fax

Practice location:
  • Phone: 334-293-6670
  • Fax: 334-293-6668
Mailing address:
  • Phone: 334-293-6670
  • Fax: 334-293-6668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF0915055
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: