Healthcare Provider Details

I. General information

NPI: 1265755284
Provider Name (Legal Business Name): HELEN FLORENCE WILLIAMS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2010
Last Update Date: 03/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 COMMONWEALTH AVE., WEST
BOSTON MA
02215-1211
US

IV. Provider business mailing address

930 COMMONWEALTH AVE., WEST
BOSTON MA
02215-1211
US

V. Phone/Fax

Practice location:
  • Phone: 617-353-6630
  • Fax: 617-353-6848
Mailing address:
  • Phone: 617-353-6630
  • Fax: 617-353-6848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License Number128736
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: