Provider Demographics
NPI:1427564137
Name:WILLIAMS, ALFRED E
Entity Type:Individual
Prefix:MR
First Name:ALFRED
Middle Name:E
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3546 RUE COLETTE # NA
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-5431
Mailing Address - Country:US
Mailing Address - Phone:504-460-1801
Mailing Address - Fax:
Practice Address - Street 1:3546 RUE COLETTE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-5431
Practice Address - Country:US
Practice Address - Phone:504-460-1801
Practice Address - Fax:504-460-1801
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-18
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA094013163WG0000X
LA209483363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA094013OtherREGISTERED NURSE