MEDICARE: MRS. ANGELA DENISE 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
1	363LP2300X	Primary Care Nurse Practitioner	APRN11029213	FL

General Provider Information

NPI Number	:	1477329993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANGELA DENISE WILLIAMS APRN

Provider Business Mailing Address
First Line	:	2922 GRAND KEMERTON PL
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-1173
Country	:	US
Telephone Number	:	954-512-0308
Fax Number	:

Provider Business Practice Location Address
First Line	:	4015 N ARMENIA AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-1001
Country	:	US
Telephone Number	:	813-812-5923
Fax Number	:

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

Provider Enumeration Date	:	11/27/2023
Last Update Date	:	05/26/2026

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