Provider Demographics
NPI:1578748661
Name:WILLIAMS, CHERYL ANN (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:ANN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 OLD FERN ROAD
Mailing Address - Street 2:BLDNG D STE 503
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-4629
Mailing Address - Country:US
Mailing Address - Phone:610-423-4556
Mailing Address - Fax:610-732-6735
Practice Address - Street 1:915 OLD FERN ROAD
Practice Address - Street 2:BLDNG D STE 503
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4629
Practice Address - Country:US
Practice Address - Phone:610-423-4556
Practice Address - Fax:610-732-6735
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJ00281000363L00000X
PASP009652363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA122917XRUMedicare UPIN
PA122917XRNMedicare UPIN
NJNJ00281000OtherSTATE LICENSE