Healthcare Provider Details

I. General information

NPI: 1164289922
Provider Name (Legal Business Name): EINSTEINA ESTERADA WILLIAMS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EINSTEINA WILLIAMS NP

II. Dates (important events)

Enumeration Date: 02/28/2024
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

416 FERNWOOD FARMS RD
CHESAPEAKE VA
23320-6916
US

IV. Provider business mailing address

416 FERNWOOD FARMS RD
CHESAPEAKE VA
23320-6916
US

V. Phone/Fax

Practice location:
  • Phone: 757-646-3387
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number0024186223
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0024186223
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024186223
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number0024186223
License Number StateVA
# 5
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001206694
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: