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NPI Code Detail

MEDICARE: RACHAEL MARIE WILLIAMS CRNP

MEDICARE: RACHAEL MARIE WILLIAMS CRNP
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
1363LF0000XFamily Nurse Practitioner1-129927AL

General Provider Information

NPI Number : 1225505191
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL MARIE WILLIAMS CRNP
Provider Business Mailing Address
First Line : 3090 WOODLEY RD STE A
Second Line :
City : MONTGOMERY
State : AL
Zip : 36116-3190
Country : US
Telephone Number : 334-280-3230
Fax Number : 334-280-3272
Provider Business Practice Location Address
First Line : 3090 WOODLEY RD STE A
Second Line :
City : MONTGOMERY
State : AL
Zip : 36116-3190
Country : US
Telephone Number : 334-280-3230
Fax Number : 334-280-3272
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2018
Last Update Date : 10/30/2018

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