Individual provider · Type 1 NPI

Lystra Eastlyn Williams, CRNP

Adult Health Nurse Practitioner · Glen Burnie, MD

NPI number 1871678995 Active

Practice location

7310 Ritchie Hwy Ste 405
Glen Burnie, MD 21061

Fax (410) 788-6727

Mailing address

2 W Rolling Xrds Ste 111
Catonsville, MD 21228-6204

Other practice locations

  • 1300 S Ellwood Ave, Baltimore, MD 21224-4900 · (410) 342-6644
  • 1300 S Ellwood Ave, Baltimore, MD 21224-4900 · (410) 342-6644

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XR132674 (MD)

Adult Health Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1871678995

Lystra Eastlyn Williams, CRNP's National Provider Identifier is 1871678995, issued on Oct 26, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Glen Burnie, MD. The record was last updated on Dec 5, 2019.