Provider / Organization | NPI | Date Certified |
---|---|---|
MISTY WILLIAMS | 1912520230 | 2021-11-21 |
Misty Williams is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1912520230. Registration indicates Misty Williams is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Mrs. Misty Williams CRNP |
Other Provider Name | Misty Welden |
Practice Office Address | 52 S VALLEY AVE STE B COLLINSVILLE, AL US |
Practice Office Telephone | 2565243090 |
Mailing Address | 52 S VALLEY AVE STE B COLLINSVILLE, AL 359613263 US |
Business Telephone | 2565243090 |
Business Fax | 2565242885 |
Code | Practice | License No State |
---|---|---|
363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 1117476
AL |
1117476 | OTHER | AL | BOARD OF NURSIN |