Provider Demographics
NPI:1760052146
Name:WILLIAMS, VERONICA (FNP)
Entity Type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5715 PRINCESS ANNE RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-3222
Mailing Address - Country:US
Mailing Address - Phone:757-962-0748
Mailing Address - Fax:
Practice Address - Street 1:837 FIRST COLONIAL RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-6195
Practice Address - Country:US
Practice Address - Phone:800-805-6989
Practice Address - Fax:888-701-8019
Is Sole Proprietor?:No
Enumeration Date:2021-06-29
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024181165363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner