Healthcare Provider Details

I. General information

NPI: 1467575167
Provider Name (Legal Business Name): ANN PATRICE WILLIAMS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 05/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6509 S SANTA FE DR
LITTLETON CO
80120-2910
US

IV. Provider business mailing address

155 INVERNESS DR W STE 200
ENGLEWOOD CO
80112-5000
US

V. Phone/Fax

Practice location:
  • Phone: 303-730-8858
  • Fax:
Mailing address:
  • Phone: 303-730-8858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number84143
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.0004693-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: