Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 0024178718 | VA |
NPI | 1962032854 |
---|---|
Provider Name | Ashley H Williams |
First Address | Stuart, VA 24171-2986 |
Second Address | Martinsville, VA 24112-1900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2020 |
Last Update Date | 21/01/2020 |