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NPI 1467084384

NPI 1467084384 : LAURA L WILLIAMS APRN : ROGERS, AR

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General NPI Number Information
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    NPI Number           |    1467084384
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    Entity Type          |    Individual 
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    Provider Name        |    LAURA L WILLIAMS APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/08/2020
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    Last Update Date     |    08/13/2025
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Provider Practice Location Address
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    Address Line         |    5434 W WALSH LN STE 100 
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    City                 |    ROGERS
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    State                |    AR
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    Zip                  |    72758-8946
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    Country              |    US
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    Telephone            |    479-443-5575
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    Fax                  |    479-367-2316
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Provider Business Mailing Address
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    Address Line         |    1 W SUNBRIDGE DR 
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    City                 |    FAYETTEVILLE
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    State                |    AR
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    Zip                  |    72703-1825
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    Country              |    US
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    Telephone            |    479-443-5575
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    Fax                  |    479-443-9554
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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        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    123933
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    License Number State |    AR
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