MEDICARE: AMINATU E WILLIAMS

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	R215106	MD

General Provider Information

NPI Number	:	1083596977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMINATU E WILLIAMS

Provider Business Mailing Address
First Line	:	2509 WASHINGTON BLVD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21230-1406
Country	:	US
Telephone Number	:	443-835-4228
Fax Number	:

Provider Business Practice Location Address
First Line	:	2509 WASHINGTON BLVD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21230-1406
Country	:	US
Telephone Number	:	443-835-4228
Fax Number	:

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

Provider Enumeration Date	:	07/22/2025
Last Update Date	:	12/26/2025

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Directions to “ AMINATU E WILLIAMS ” Practice Location

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