Healthcare Provider Details

I. General information

NPI: 1205907375
Provider Name (Legal Business Name): HOLLY J WILLIAMSON ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/12/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21601 76TH AVE W
EDMONDS WA
98026-7507
US

IV. Provider business mailing address

13239 105TH AVE NE
KIRKLAND WA
98034-2042
US

V. Phone/Fax

Practice location:
  • Phone: 425-640-4006
  • Fax: 425-640-4010
Mailing address:
  • Phone: 425-814-3199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAP30006630
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: