Provider Demographics
NPI:1306009238
Name:WILLIAMS, ANNE C (CNS)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:C
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 116
Mailing Address - Street 2:
Mailing Address - City:WEST ROCKPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04865-0116
Mailing Address - Country:US
Mailing Address - Phone:207-542-3313
Mailing Address - Fax:
Practice Address - Street 1:147 MT. PLEASANT ST.
Practice Address - Street 2:
Practice Address - City:WEST ROCKPORT
Practice Address - State:ME
Practice Address - Zip Code:04865-0116
Practice Address - Country:US
Practice Address - Phone:207-542-3313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2008-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAS084151364SP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0807XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Adolescent