Healthcare Provider Details

I. General information

NPI: 1558766535
Provider Name (Legal Business Name): CHERISE WILLIAMS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2014
Last Update Date: 11/05/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1995 E OAKLAND PARK BLVD STE 310
FORT LAUDERDALE FL
33306-1138
US

IV. Provider business mailing address

1995 E OAKLAND PARK BLVD STE 310
FORT LAUDERDALE FL
33306-1138
US

V. Phone/Fax

Practice location:
  • Phone: 866-996-8011
  • Fax: 916-734-3066
Mailing address:
  • Phone: 866-996-8011
  • Fax: 916-734-3066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN11009083
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number95001620
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: