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NPI Code Detail

MEDICARE: MARY E MCWILLIAMS NP

MEDICARE: MARY E MCWILLIAMS NP
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 Practitioner07808NPOH
2363LF0000XFamily Nurse Practitioner9372494FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811992274
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY E MCWILLIAMS NP
Provider Business Mailing Address
First Line : 5151 N 9TH AVE STE 201
Second Line :
City : PENSACOLA
State : FL
Zip : 32504-8721
Country : US
Telephone Number : 850-416-1203
Fax Number : 850-416-2839
Provider Business Practice Location Address
First Line : 5151 N 9TH AVE STE 201
Second Line :
City : PENSACOLA
State : FL
Zip : 32504-8721
Country : US
Telephone Number : 850-416-1203
Fax Number : 850-416-2839
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 01/28/2014

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Directions to “ MARY E MCWILLIAMS NP” Practice Location

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