Healthcare Provider Details

I. General information

NPI: 1124106323
Provider Name (Legal Business Name): ALANA MAE WILLIAMS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 10/28/2021
Certification Date: 10/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6621 GULTON CT NE
ALBUQUERQUE NM
87109-4407
US

IV. Provider business mailing address

6621 GULTON CT NE
ALBUQUERQUE NM
87109-4407
US

V. Phone/Fax

Practice location:
  • Phone: 505-888-0443
  • Fax: 505-888-1398
Mailing address:
  • Phone: 505-888-0443
  • Fax: 505-888-1398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD2006-0728
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License NumberMD2006-0728
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberMD2006-0728
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: