Provider Demographics
NPI:1164519401
Name:WILLIAMS, ANITA GLORIA (FNP CRNP NURSE PRAC)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:GLORIA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:FNP CRNP NURSE PRAC
Other - Prefix:MRS
Other - First Name:ANITA
Other - Middle Name:
Other - Last Name:RIPPEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP NURSE PRACTITION
Mailing Address - Street 1:723 CRYSTAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-2444
Mailing Address - Country:US
Mailing Address - Phone:412-571-1309
Mailing Address - Fax:
Practice Address - Street 1:111 UNIVERSITY DRIVE C
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15240-1001
Practice Address - Country:US
Practice Address - Phone:412-688-6146
Practice Address - Fax:412-688-6588
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP005304B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily