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NPI Code Detail

MEDICARE: DONNA PHILLIPS WILLIAMS ARNP

MEDICARE: DONNA PHILLIPS WILLIAMS ARNP
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 Practitioner29751OK

General Provider Information

NPI Number : 1700861176
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA PHILLIPS WILLIAMS ARNP
Provider Business Mailing Address
First Line : 6600 S YALE AVE STE 1400
Second Line :
City : TULSA
State : OK
Zip : 74136-3331
Country : US
Telephone Number : 918-488-6687
Fax Number : 918-488-6098
Provider Business Practice Location Address
First Line : 2950 S ELM PL STE 120
Second Line :
City : BROKEN ARROW
State : OK
Zip : 74012-7816
Country : US
Telephone Number : 918-451-5191
Fax Number : 918-451-5272
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2005
Last Update Date : 07/02/2021

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Directions to “ DONNA PHILLIPS WILLIAMS ARNP” Practice Location

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