MEDICARE: STEPHANIE WILLIAMS N.P.

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	363LF0000X	Family Nurse Practitioner	0024174527	VA

General Provider Information

NPI Number	:	1992237317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE WILLIAMS N.P.

Provider Business Mailing Address
First Line	:	102 15TH ST NW
Second Line	:	SUITE 301
City	:	NORTON
State	:	VA
Zip	:	24273-1627
Country	:	US
Telephone Number	:	276-679-1623
Fax Number	:	276-679-6811

Provider Business Practice Location Address
First Line	:	102 15TH ST NW
Second Line	:	SUITE 301
City	:	NORTON
State	:	VA
Zip	:	24273-1627
Country	:	US
Telephone Number	:	276-679-1623
Fax Number	:	276-679-6811

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

Provider Enumeration Date	:	04/03/2017
Last Update Date	:	04/06/2017

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