Healthcare Provider Details

I. General information

NPI: 1285003988
Provider Name (Legal Business Name): LOREEN WILLIAMS DNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2015
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 WESTCOTT RD
DANIELSON CT
06239-2929
US

IV. Provider business mailing address

45 BRANDY ST
BOLTON CT
06043-7600
US

V. Phone/Fax

Practice location:
  • Phone: 860-774-9540
  • Fax:
Mailing address:
  • Phone: 860-305-3477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number12.006331
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: