Kathleen Edna Williams in Rockford - Nurse Practitioner

Kathleen Edna Williams - NPI 1063418143

Kathleen Edna Williams is a Nurse Practitioner in Rockford, Illinois. Kathleen Edna Williams practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kathleen Edna Williams is 1063418143. The last update date is 2021-02-18.

Kathleen Edna Williams's current location address is 1340 Charles St, Rockford, Illinois. You can contact this provider via phone number 7796968799. The mailing address for Kathleen Edna Williams is 1340 Charles St, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathleen Edna Williams
Address 1340 Charles St, Rockford, Illinois
Phone Number 7796968799
Fax Number
Sole Proprietor N
Credentials APRN

NPI Number Detail

NPI Number 1063418143
Provider Enumeration Date 2005-06-23
Last Updated Date 2021-02-18

Provider Mailing Address Detail

Address 1340 Charles St
City Rockford
State Illinois (IL)
Post Code 611040
Phone Number 7796968799
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 209-004303
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
209004303 IL STATE LICENSE
264325 IL PERSONAL CARE

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FAQs about Kathleen Edna Williams

What is the unique 10-digit identification code issued to Kathleen Edna Williams by the Centers for Medicare & Medicaid Services?

The Kathleen Edna Williams has been assigned the NPI (National Provider Identifier) 1063418143 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Kathleen Edna Williams located?

The Kathleen Edna Williams is located at 1340 Charles St, Rockford, IL 611040.

What is Kathleen Edna Williams's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kathleen Edna Williams's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1063418143 to Kathleen Edna Williams?

The Centers for Medicare & Medicaid Services assigned the 1063418143 to Kathleen Edna Williams on 2005-06-23.

As of what date was the information pertaining to Kathleen Edna Williams, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kathleen Edna Williams, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-02-18.

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