Healthcare Provider Details

I. General information

NPI: 1487332763
Provider Name (Legal Business Name): EMERY ALISON WILLIAMS APRN AGCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMERY ALISON BERGEY APRN AGCNS-BC

II. Dates (important events)

Enumeration Date: 07/07/2023
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 BEARD CREEK RD
EDWARDS CO
81632-6433
US

IV. Provider business mailing address

129 CRESCENT DR
RAEFORD NC
28376-7328
US

V. Phone/Fax

Practice location:
  • Phone: 970-569-7429
  • Fax:
Mailing address:
  • Phone: 205-531-6077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11027368
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code364SX0200X
TaxonomyOncology Clinical Nurse Specialist
License NumberAPRN11027368
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: