Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | RN271490 | MA |
N | 363LA2200X | Nurse Practitioner - Adult Health | RN271490 | MA |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | MA271490 | MA |
NPI | 1023270626 |
---|---|
Provider Name | Patricia Ann Williams |
First Address | West Roxbury, MA 02132-4927 |
Second Address | West Roxbury, MA 02132-4927 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2008 |
Last Update Date | 09/06/2021 |