Healthcare Provider Details

I. General information

NPI: 1093442485
Provider Name (Legal Business Name): SARIAH JEAN WILLIAMSON BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2022
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41282 W HENSLEY WAY
MARICOPA AZ
85138-5908
US

IV. Provider business mailing address

41282 W HENSLEY WAY
MARICOPA AZ
85138-5908
US

V. Phone/Fax

Practice location:
  • Phone: 602-918-7159
  • Fax:
Mailing address:
  • Phone: 602-918-7159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number338176
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN205712
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: