Healthcare Provider Details

I. General information

NPI: 1114648607
Provider Name (Legal Business Name): DAWN ALICIA WILLIAMS MSN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2022
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7450 ALBERT RD FL 2
BRANDYWINE MD
20613-3035
US

IV. Provider business mailing address

7450 ALBERT RD
BRANDYWINE MD
20613-3035
US

V. Phone/Fax

Practice location:
  • Phone: 301-888-2233
  • Fax: 301-888-9133
Mailing address:
  • Phone: 301-888-2233
  • Fax: 301-888-9133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR147695
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: