Healthcare Provider Details

I. General information

NPI: 1740897628
Provider Name (Legal Business Name): HANNAH C WILLIAMS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2020
Last Update Date: 10/14/2022
Certification Date: 10/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 EAST AVE
ROCHESTER NY
14604-2502
US

IV. Provider business mailing address

2655 RIDGEWAY AVE STE 340
ROCHESTER NY
14626-4296
US

V. Phone/Fax

Practice location:
  • Phone: 585-397-7339
  • Fax:
Mailing address:
  • Phone: 585-770-3734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number681832
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number348270
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: