Provider Demographics
NPI:1104716026
Name:WILLIAMS, BRENDA MAY (NP)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:MAY
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-7614
Mailing Address - Country:US
Mailing Address - Phone:207-795-2440
Mailing Address - Fax:207-795-2444
Practice Address - Street 1:17 HIGH ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-7614
Practice Address - Country:US
Practice Address - Phone:207-795-2440
Practice Address - Fax:207-795-2444
Is Sole Proprietor?:No
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP251133363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care