Provider Demographics
NPI:1326239013
Name:WILLIAMS, MARGARET A (APRN)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:A
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1723 BROADWAY ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-4505
Mailing Address - Country:US
Mailing Address - Phone:573-331-6880
Mailing Address - Fax:573-331-6887
Practice Address - Street 1:1723 BROADWAY ST
Practice Address - Street 2:SUITE 310
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63701-4505
Practice Address - Country:US
Practice Address - Phone:573-331-7880
Practice Address - Fax:573-331-6887
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO082941363L00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO082941OtherMISSOURI LICENSE