Provider Demographics
NPI:1821155490
Name:WILLIAMS, CHRISTIANA E (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:CHRISTIANA
Middle Name:E
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2913 HIGHLAND GLN
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-8360
Mailing Address - Country:US
Mailing Address - Phone:405-364-2110
Mailing Address - Fax:
Practice Address - Street 1:1024 SW 44TH ST
Practice Address - Street 2:SUITE 800
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73109-3614
Practice Address - Country:US
Practice Address - Phone:405-702-9050
Practice Address - Fax:405-702-9061
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKROO58523363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200087300AMedicaid