Healthcare Provider Details

I. General information

NPI: 1598159824
Provider Name (Legal Business Name): TREESA WILLIAMSON CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2015
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 CECIL B MOORE AVE APT 204
PHILADELPHIA PA
19122-3243
US

IV. Provider business mailing address

6 DICKINSON DR STE 107
CHADDS FORD PA
19317-9689
US

V. Phone/Fax

Practice location:
  • Phone: 215-585-2144
  • Fax:
Mailing address:
  • Phone: 610-361-9500
  • Fax: 610-361-9501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number12.013004
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP026787
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP014874
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberTPAN633
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: