Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 2017030712 | MO |
N | 363LA2200X | Nurse Practitioner - Adult Health | 2017030712 | MO |
Y | 363LP2300X | Nurse Practitioner - Primary Care | 53-77838-091 | KS |
NPI | 1033637020 |
---|---|
Provider Name | Mrs. Yamila Williams |
First Address | Kansas City, MO 64132-2037 |
Second Address | Kansas City, MO 64132-2037 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2017 |
Last Update Date | 18/02/2019 |