Provider Demographics
NPI:1093004145
Name:WILLIAMS, CHELAN MARIE (MSN FNP)
Entity Type:Individual
Prefix:MRS
First Name:CHELAN
Middle Name:MARIE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MSN FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2013 VERDIN AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-5605
Mailing Address - Country:US
Mailing Address - Phone:956-867-7877
Mailing Address - Fax:956-630-1363
Practice Address - Street 1:2013 VERDIN AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-5605
Practice Address - Country:US
Practice Address - Phone:956-867-7877
Practice Address - Fax:956-630-1363
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-29
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX591565163WG0000X, 163WH1000X, 163WP0000X, 163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WH1000XNursing Service ProvidersRegistered NurseHospice
No163WP0000XNursing Service ProvidersRegistered NursePain Management
No163WX0200XNursing Service ProvidersRegistered NurseOncology