Individual provider · Type 1 NPI
Georgia Kelly-Williams
Psychiatric/Mental Health Nurse Practitioner · Deer Park, NY
NPI number
1104545037
Active
Practice location
52 Tiber Ave
Deer Park, NY 11729-7012
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 404380 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1104545037
Georgia Kelly-Williams's National Provider Identifier is 1104545037, issued on Aug 24, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Deer Park, NY. The record was last updated on Aug 24, 2022.