Healthcare Provider Details

I. General information

NPI: 1326455536
Provider Name (Legal Business Name): DENISE WILLIAMS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2014
Last Update Date: 08/15/2024
Certification Date: 08/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5575 S SEMORAN BLVD STE 26
ORLANDO FL
32822-1781
US

IV. Provider business mailing address

8001 NEW RIVER DR APT. 18107
ORLANDO FL
32821-5432
US

V. Phone/Fax

Practice location:
  • Phone: 407-401-8637
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPRN9308298
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: