Healthcare Provider Details
I. General information
NPI: 1831553585
Provider Name (Legal Business Name): MARGARET MICHELE WILLIAMS DNP(C) CRNP, OCN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/08/2016
Last Update Date: 05/14/2024
Certification Date: 05/14/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8221 TEAL DR STE 302
EASTON MD
21601-7215
US
IV. Provider business mailing address
PO BOX 749495
ATLANTA GA
30374-9495
US
V. Phone/Fax
- Phone: 410-820-5945
- Fax: 410-820-9642
- Phone: 855-963-2100
- Fax: 813-321-1296
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | R111860 |
| License Number State | MD |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LG0600X |
| Taxonomy | Gerontology Nurse Practitioner |
| License Number | R111860 |
| License Number State | MD |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | R111860 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: