Provider Demographics
NPI:1629506175
Name:WILLIAMS, CLAUDIE (APRN)
Entity Type:Individual
Prefix:
First Name:CLAUDIE
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5065 S STATE ROAD 7 STE 203
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33449-5439
Mailing Address - Country:US
Mailing Address - Phone:561-432-0067
Mailing Address - Fax:561-432-0066
Practice Address - Street 1:5065 S STATE ROAD 7 STE 203
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33449-5439
Practice Address - Country:US
Practice Address - Phone:561-432-0067
Practice Address - Fax:561-432-0066
Is Sole Proprietor?:No
Enumeration Date:2017-05-29
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9476985363L00000X
MI4704284945363L00000X
FLAPRN9476985363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner