Individual provider · Type 1 NPI
Lisa Susan Williams, AGPCNP
Adult Health Nurse Practitioner · Medford, NY
NPI number
1487216743
Active
Practice location
76 Southaven Ave Ste 5
Medford, NY 11763-3745
Mailing address
11 Wexford Dr
Oakdale, NY 11769-1438
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 309193 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1487216743
Lisa Susan Williams, AGPCNP's National Provider Identifier is 1487216743, issued on Jul 7, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Medford, NY. The record was last updated on Jul 7, 2019.