Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | ARNP2102342 | FL |
NPI | 1407901622 |
---|---|
Provider Name | Miriam E Williams |
First Address | St Petersburg, FL 33713-7605 |
Second Address | St Petersburg, FL 33713-7605 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2007 |
Last Update Date | 09/07/2007 |