MEDICARE: ANNETTE DIANE WILLIAMSON ARNP, FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1042904	TX

General Provider Information

NPI Number	:	1003127143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNETTE DIANE WILLIAMSON ARNP, FNP

Provider Business Mailing Address
First Line	:	1005 SPRINGDALE RD
Second Line	:
City	:	BEDFORD
State	:	TX
Zip	:	76021-4259
Country	:	US
Telephone Number	:	816-882-7621
Fax Number	:

Provider Business Practice Location Address
First Line	:	2205 N TARRANT PKWY
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76177-2204
Country	:	US
Telephone Number	:	817-328-3320
Fax Number	:	817-328-3325

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2010
Last Update Date	:	01/13/2025

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