Provider Demographics
NPI:1700202603
Name:WILLIAMS, ERIN BROOKE (C-FNP)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:BROOKE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:C-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7422 N FLORA AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2531
Mailing Address - Country:US
Mailing Address - Phone:559-696-7161
Mailing Address - Fax:
Practice Address - Street 1:7422 N FLORA AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2531
Practice Address - Country:US
Practice Address - Phone:559-696-7161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-15
Last Update Date:2014-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95000427363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily