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NPI Code Detail

MEDICARE: ELIZABETH WILLIAMS APRN

MEDICARE:   ELIZABETH  WILLIAMS  APRN
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 PractitionerRN2341565MA
2363LF0000XFamily Nurse Practitioner9836CT

General Provider Information

NPI Number : 1437823648
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH WILLIAMS APRN
Provider Business Mailing Address
First Line : 675 MAIN ST
Second Line :
City : MIDDLETOWN
State : CT
Zip : 06457-2732
Country : US
Telephone Number : 860-347-6971
Fax Number :
Provider Business Practice Location Address
First Line : 41 RESNIK RD STE 3
Second Line :
City : PLYMOUTH
State : MA
Zip : 02360-5721
Country : US
Telephone Number : 508-210-5850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2021
Last Update Date : 04/02/2026

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