MEDICARE: ELAINE A WILLIAMS FNP/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	363LF0000X	Family Nurse Practitioner	337374	NY

General Provider Information

NPI Number	:	1528322153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELAINE A WILLIAMS FNP/APRN

Provider Business Mailing Address
First Line	:	2970 GULF TO BAY BLVD UNIT C
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33759-4202
Country	:	US
Telephone Number	:	727-371-4570
Fax Number	:

Provider Business Practice Location Address
First Line	:	2970 GULF TO BAY BLVD UNIT C
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33759-4202
Country	:	US
Telephone Number	:	727-371-4570
Fax Number	:

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

Provider Enumeration Date	:	06/28/2012
Last Update Date	:	05/23/2024

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