Provider Demographics
NPI:1467692715
Name:WILLIAMSBALL, ALLISON CHALFANT (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:CHALFANT
Last Name:WILLIAMSBALL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:100 HOSPITAL AVE
Mailing Address - Street 2:
Mailing Address - City:DU BOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-1440
Mailing Address - Country:US
Mailing Address - Phone:814-375-2040
Mailing Address - Fax:814-375-2045
Practice Address - Street 1:100 HOSPITAL AVE
Practice Address - Street 2:DRMC CV SERVICES
Practice Address - City:DU BOIS
Practice Address - State:PA
Practice Address - Zip Code:15801-1440
Practice Address - Country:US
Practice Address - Phone:814-375-2040
Practice Address - Fax:814-375-2045
Is Sole Proprietor?:No
Enumeration Date:2009-02-26
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP010218363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA148338Medicare PIN