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NPI Code Detail

MEDICARE: MARCIA WILLIAMS CNP

MEDICARE: MARCIA WILLIAMS CNP
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 PractitionerCOA.15594-NPOH
2363LF0000XFamily Nurse PractitionerAPRN.CNP.15594OH

General Provider Information

NPI Number : 1720408768
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCIA WILLIAMS CNP
Provider Business Mailing Address
First Line : 3320 LARKINS RD
Second Line :
City : YELLOW SPRINGS
State : OH
Zip : 45387-8800
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4790 COTTONVILLE RD
Second Line :
City : JAMESTOWN
State : OH
Zip : 45335-1518
Country : US
Telephone Number : 937-675-2870
Fax Number : 937-675-2873
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2014
Last Update Date : 11/13/2020

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