Provider Demographics
NPI:1417615246
Name:WILLIAMSON, EMMA CAITRIONA (FNP)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:CAITRIONA
Last Name:WILLIAMSON
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 1:832 RICHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:DEATSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36022-2964
Mailing Address - Country:US
Mailing Address - Phone:334-612-8841
Mailing Address - Fax:
Practice Address - Street 1:832 RICHFIELD RD
Practice Address - Street 2:
Practice Address - City:DEATSVILLE
Practice Address - State:AL
Practice Address - Zip Code:36022-2964
Practice Address - Country:US
Practice Address - Phone:334-612-8841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-093348363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily