Provider Demographics
NPI:1417041229
Name:WILLIAMS ZENO, KYMBERLI TREMAYNE (FNP)
Entity Type:Individual
Prefix:MS
First Name:KYMBERLI
Middle Name:TREMAYNE
Last Name:WILLIAMS ZENO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25511 BUDDE RD STE 3601
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-4065
Mailing Address - Country:US
Mailing Address - Phone:281-357-9606
Mailing Address - Fax:281-532-8345
Practice Address - Street 1:25511 BUDDE RD STE 3601
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-4065
Practice Address - Country:US
Practice Address - Phone:281-357-9606
Practice Address - Fax:281-532-8345
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP112448363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
P93454Medicare UPIN