Provider Demographics
NPI:1194461434
Name:WILLIAMS, MARGIE ANN (PMHNP)
Entity Type:Individual
Prefix:MRS
First Name:MARGIE
Middle Name:ANN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7836 RIVERVIEW CT SE
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98501-6804
Mailing Address - Country:US
Mailing Address - Phone:773-332-3848
Mailing Address - Fax:
Practice Address - Street 1:4405 7TH AVE SE STE 200-0501
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-1062
Practice Address - Country:US
Practice Address - Phone:253-300-3303
Practice Address - Fax:253-300-2030
Is Sole Proprietor?:No
Enumeration Date:2022-05-10
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11020995363LP0808X
WARN-61370274363LP0808X
WAAP-61370289363LP0808X
FLRN9378900363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health