MEDICARE: MRS. CATHERINE A 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
1	363L00000X	Nurse Practitioner	SP-002192-B	PA

General Provider Information

NPI Number	:	1235198466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CATHERINE A WILLIAMS CRNP

Provider Business Mailing Address
First Line	:	1900 BRIDGE ST
Second Line	:
City	:	NEW CUMBERLAND
State	:	PA
Zip	:	17070-1127
Country	:	US
Telephone Number	:	717-774-7041
Fax Number	:	717-774-3213

Provider Business Practice Location Address
First Line	:	1900 BRIDGE ST
Second Line	:
City	:	NEW CUMBERLAND
State	:	PA
Zip	:	17070-1127
Country	:	US
Telephone Number	:	717-774-7041
Fax Number	:	717-774-3213

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

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	10/12/2007

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