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NPI Code Detail

MEDICARE: MELISSA WILLIAMS FNP-C

MEDICARE: MELISSA WILLIAMS FNP-C
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 Practitioner7221944-4405UT

General Provider Information

NPI Number : 1730988536
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA WILLIAMS FNP-C
Provider Business Mailing Address
First Line : 607 KIRBY LN
Second Line :
City : SPANISH FORK
State : UT
Zip : 84660-1368
Country : US
Telephone Number : 801-382-9338
Fax Number : 801-383-0246
Provider Business Practice Location Address
First Line : 3319 N UNIVERSITY AVE STE 100
Second Line :
City : PROVO
State : UT
Zip : 84604-4447
Country : US
Telephone Number : 801-356-0014
Fax Number : 801-788-4842
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2025
Last Update Date : 02/04/2026

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