Provider Demographics
NPI:1235198466
Name:WILLIAMS, CATHERINE A (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:A
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:NEW CUMBERLAND
Mailing Address - State:PA
Mailing Address - Zip Code:17070-1127
Mailing Address - Country:US
Mailing Address - Phone:717-774-7041
Mailing Address - Fax:717-774-3213
Practice Address - Street 1:1900 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:NEW CUMBERLAND
Practice Address - State:PA
Practice Address - Zip Code:17070-1127
Practice Address - Country:US
Practice Address - Phone:717-774-7041
Practice Address - Fax:717-774-3213
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP-002192-B363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA019622F6DMedicare PIN
PAS64305Medicare UPIN