Healthcare Provider Details

I. General information

NPI: 1285612804
Provider Name (Legal Business Name): PAMELA B WILLIAMS N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 MAPLE STREET 3RD FLOOR SUITE 3
SPRINGFIELD MA
01103
US

IV. Provider business mailing address

716 RYAN RD
FLORENCE MA
01062-3437
US

V. Phone/Fax

Practice location:
  • Phone: 413-707-8100
  • Fax: 413-301-6007
Mailing address:
  • Phone: 413-207-1016
  • Fax: 413-301-6007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number174702
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number174702
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number174702
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: