Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 382285 | NY |
N | 363LP0200X | Nurse Practitioner - Pediatrics | TAP3758 | AZ |
NPI | 1023324845 |
---|---|
Provider Name | Ashley Claire Williams |
First Address | West Henrietta, NY 14586-9499 |
Second Address | Rochester, NY 14642-1308 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2010 |
Last Update Date | 26/04/2020 |