Provider Demographics
NPI:1114648607
Name:WILLIAMS, DAWN ALICIA (MSN FNP-C)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:ALICIA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MSN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10908 SIR PAUL PL
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-9606
Mailing Address - Country:US
Mailing Address - Phone:240-464-8230
Mailing Address - Fax:
Practice Address - Street 1:10908 SIR PAUL PL
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-9606
Practice Address - Country:US
Practice Address - Phone:240-464-8230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-05
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR147695363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily