Healthcare Provider Details

I. General information

NPI: 1205942117
Provider Name (Legal Business Name): ESTHER LEE WILLIAMS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 12/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 KINDLE ROAD
RANDLE WA
98377
US

IV. Provider business mailing address

233 WILLIAMS PO BOX 508
MOSSYROCK WA
98564-0508
US

V. Phone/Fax

Practice location:
  • Phone: 360-497-3333
  • Fax: 360-497-5073
Mailing address:
  • Phone: 360-983-3069
  • Fax: 360-983-9038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN00099463
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: