Healthcare Provider Details

I. General information

NPI: 1376878678
Provider Name (Legal Business Name): ALEXANDRA B WILLIAMS APRN, FNP-BC, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SASHA WILLIAMS DNP, APRN, IBCLC

II. Dates (important events)

Enumeration Date: 10/05/2009
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2490 HOSPITAL DR
MOUNTAIN VIEW CA
94040-4122
US

IV. Provider business mailing address

830 GEORGETOWN PL
SAN JOSE CA
95126-3062
US

V. Phone/Fax

Practice location:
  • Phone: 808-988-8290
  • Fax:
Mailing address:
  • Phone: 808-988-8290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN77990
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberRN95157678
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95033454
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberRN77990
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: