Healthcare Provider Details

I. General information

NPI: 1508117052
Provider Name (Legal Business Name): ASHLEY N WILLIAMS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2012
Last Update Date: 10/13/2024
Certification Date: 10/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 COOK AVE EMERGENCY PHYSICIANS OF CENTRAL FLORIDA
ORLANDO FL
32806-2912
US

IV. Provider business mailing address

215 COLONIAL LN
LONGWOOD FL
32750-3823
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-5236
  • Fax: 407-426-7443
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP 9310240
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: