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NPI 1669036638

NPI 1669036638 : LISA WILLIAMS APRN PLLC : BEDFORD, NH

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General NPI Number Information
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    NPI Number           |    1669036638
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    Entity Type          |    Organization 
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    Legal Business Name  |    LISA WILLIAMS APRN PLLC 
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Dates
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    Enumeration Date     |    04/25/2019
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    Last Update Date     |    03/03/2023
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Provider Practice Location Address
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    Address Line         |    10 CHESTNUT DR UNIT M 
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    City                 |    BEDFORD
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    State                |    NH
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    Zip                  |    03110-5555
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    Country              |    US
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    Telephone            |    603-785-7526
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    Fax                  |    603-580-5953
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Provider Business Mailing Address
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    Address Line         |    13 PINE MEADOWS DR 
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    City                 |    EXETER
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    State                |    NH
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    Zip                  |    03833-4819
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    Country              |    US
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    Telephone            |    603-785-7526
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    Fax                  |    603-580-5953
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Authorized Official
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    Title or Position    |    NURSE PRACTITIONER
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    Name                 |     LISA MARIE WILLIAMS 
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    Credential           |    APRN
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    Telephone            |    603-785-7526
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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       |    
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    License Number State |    
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