Healthcare Provider Details

I. General information

NPI: 1962731653
Provider Name (Legal Business Name): ALONA MARIE WILLIAMSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2009
Last Update Date: 12/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 HAMAKER CT SUITE 400
FAIRFAX VA
22031-2238
US

IV. Provider business mailing address

3020 HAMAKER CT SUITE 400
FAIRFAX VA
22031-2238
US

V. Phone/Fax

Practice location:
  • Phone: 703-876-0800
  • Fax: 703-876-0866
Mailing address:
  • Phone: 703-876-0800
  • Fax: 703-876-0866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number0001157832
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: