MEDICARE: LINDSAY WILLIAMS

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	163W00000X	Registered Nurse	RN188969	AZ
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	334662	AZ

General Provider Information

NPI Number	:	1417624461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY WILLIAMS

Provider Business Mailing Address
First Line	:	390 S BLUEFIELD PL
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-4432
Country	:	US
Telephone Number	:	254-449-6763
Fax Number	:

Provider Business Practice Location Address
First Line	:	390 S BLUEFIELD PL
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-4432
Country	:	US
Telephone Number	:	254-449-6763
Fax Number	:

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

Provider Enumeration Date	:	08/26/2021
Last Update Date	:	04/06/2026

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Directions to “ LINDSAY WILLIAMS ” Practice Location

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