Provider Demographics
NPI:1639286628
Name:WILLIAMS, ANN M (CRNA)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13579
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19612
Mailing Address - Country:UM
Mailing Address - Phone:484-628-0799
Mailing Address - Fax:
Practice Address - Street 1:6TH AVENUE AND SPRUCE
Practice Address - Street 2:
Practice Address - City:WEST READOMG
Practice Address - State:PA
Practice Address - Zip Code:19611-1428
Practice Address - Country:US
Practice Address - Phone:484-628-8269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN219072-L163W00000X
PARN219072L367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1551298OtherGATEWAY
PA9530442OtherAETNA
PA117255OtherGEISINGER
PA3502776000OtherIBC
PA50076657OtherCAPITAL ADVANTAGE
PA2023545OtherHIGHMARK
PA2023545OtherFIRST PRIORITY
PA2023545OtherFIRST PRIORITY