Individual provider · Type 1 NPI

Fontaine Williams

Gerontology Nurse Practitioner · Centerville, OH

NPI number 1467857896 Active

Practice location

2350 Miami Valley Dr Ste 500
Centerville, OH 45459-4780

Fax (937) 245-6308

Mailing address

6680 Poe Ave Ste 200
Dayton, OH 45414-2855

Other practice locations

  • 2222 Philadelphia Dr, Dayton, OH 45406-1813 · (937) 734-5567
  • 2222 Philadelphia Dr, Dayton, OH 45406-1813 · (937) 734-5567
  • 1 Wyoming St, Dayton, OH 45409-2722 · (937) 208-8000

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XAPRN.CNP.17004 (OH)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1467857896

Fontaine Williams's National Provider Identifier is 1467857896, issued on Oct 28, 2014. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Centerville, OH. The record was last updated on Dec 31, 2020.