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General NPI Number Information
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NPI Number | 1447724489
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Entity Type | Individual
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Provider Name | JOEL WILLIAMS
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Gender | Male
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Dates
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Enumeration Date | 01/13/2019
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Last Update Date | 01/16/2020
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Provider Practice Location Address
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Address Line | 13677 W MCDOWELL RD
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City | GOODYEAR
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State | AZ
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Zip | 85395-2635
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Country | US
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Telephone | 605-430-2280
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Fax |
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Provider Business Mailing Address
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Address Line | 13301 W MONTEREY WAY
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-5914
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Country | US
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Telephone | 605-430-2280
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN182024
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 223379
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License Number State | AZ
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