Healthcare Provider Details

I. General information

NPI: 1467378901
Provider Name (Legal Business Name): SONYA K. WILLIAMS MSN, CRNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

359 JENNINGS RD
SEVERNA PARK MD
21146-1818
US

IV. Provider business mailing address

359 JENNINGS RD
SEVERNA PARK MD
21146-1818
US

V. Phone/Fax

Practice location:
  • Phone: 301-641-1113
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR220727
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: