MEDICARE: HABIBAH WILLIAMS AGACNP-BC

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	363LA2100X	Acute Care Nurse Practitioner	0024180807	VA

General Provider Information

NPI Number	:	1780276071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HABIBAH WILLIAMS AGACNP-BC

Provider Business Mailing Address
First Line	:	PO BOX 780125
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19178-0125
Country	:	US
Telephone Number	:	804-922-4844
Fax Number	:

Provider Business Practice Location Address
First Line	:	11601 IRON BRIDGE RD
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23831-1466
Country	:	US
Telephone Number	:	804-739-4285
Fax Number	:

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

Provider Enumeration Date	:	02/08/2021
Last Update Date	:	02/25/2026

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