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NPI Code Detail

MEDICARE: DANA WILLIAMS APRN, PMHNP-BC

MEDICARE:   DANA  WILLIAMS  APRN, PMHNP-BC
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
1363LP2300XPrimary Care Nurse PractitionerAPRN11013273FL
22084P0800XPsychiatry PhysicianAPRN11013273FL

General Provider Information

NPI Number : 1134795180
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA WILLIAMS APRN, PMHNP-BC
Provider Business Mailing Address
First Line : 945 SW MARTIN DOWNS BLVD
Second Line :
City : PALM CITY
State : FL
Zip : 34990-2815
Country : US
Telephone Number : 772-254-4347
Fax Number :
Provider Business Practice Location Address
First Line : 945 SW MARTIN DOWNS BLVD
Second Line :
City : PALM CITY
State : FL
Zip : 34990-2815
Country : US
Telephone Number : 772-254-4347
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2021
Last Update Date : 02/07/2024

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Directions to “ DANA WILLIAMS APRN, PMHNP-BC” Practice Location

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