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General NPI Number Information
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NPI Number | 1659444909
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Entity Type | Individual
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Provider Name | SANDRA KAY WILLIAMS APRN BC
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Gender | Female
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | MOHAVE MENTAL HEALTH CLINIC INC 1145 MARINA BLVD
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City | BULLHEAD CITY
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State | AZ
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Zip | 86442
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Country | US
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Telephone | 928-758-5905
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Fax | 928-757-3256
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Provider Business Mailing Address
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Address Line | MOHAVE MENTAL HEALTH CLINIC INC 1743 SYCAMORE AVE
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City | KINSMAN
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State | AZ
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Zip | 86409
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Country | US
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Telephone | 928-757-8111
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Fax | 928-757-3256
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN139215
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP2441
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License Number State | AZ
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