Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD2006-0728 | NM |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD2006-0728 | NM |
N | 207VG0400X | Gynecologist | MD2006-0728 | NM |
NPI | 1124106323 |
---|---|
Provider Name | Alana Mae Williams |
First Address | Albuquerque, NM 87109-4407 |
Second Address | Albuquerque, NM 87109-4407 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 28/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3570533 | (05) | NM |