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NPI Code Detail

MEDICARE: ELIZA A WILLIAMSON FNP

MEDICARE: ELIZA A WILLIAMSON 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
1207Q00000XFamily Medicine PhysicianRN073559AZ
2363LF0000XFamily Nurse PractitionerAP1164AZ

General Provider Information

NPI Number : 1164427167
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZA A WILLIAMSON FNP
Provider Business Mailing Address
First Line : 17220 N BOSWELL BLVD
Second Line : STE 202W.
City : SUN CITY
State : AZ
Zip : 85373-2000
Country : US
Telephone Number : 623-546-2294
Fax Number : 623-546-1345
Provider Business Practice Location Address
First Line : 17220 N BOSWELL BLVD
Second Line : STE 202W.
City : SUN CITY
State : AZ
Zip : 85373-2000
Country : US
Telephone Number : 623-546-2294
Fax Number : 623-546-1345
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 07/20/2022

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