MEDICARE: MS. REBECCA L. WILLIAMS RN, APRN, 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
1	363LF0000X	Family Nurse Practitioner	2002014651	MO

General Provider Information

NPI Number	:	1346438017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. REBECCA L. WILLIAMS RN, APRN, FNP

Provider Business Mailing Address
First Line	:	1914 SWIFT AVE
Second Line	:
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-3447
Country	:	US
Telephone Number	:	816-221-1603
Fax Number	:	816-472-6266

Provider Business Practice Location Address
First Line	:	1914 SWIFT AVE
Second Line	:
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-3447
Country	:	US
Telephone Number	:	816-221-1603
Fax Number	:	816-472-6266

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

Provider Enumeration Date	:	10/09/2007
Last Update Date	:	07/14/2020

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