Provider Demographics
NPI:1952638231
Name:WILLIAMS, CHRISTOL D (RN)
Entity Type:Individual
Prefix:MS
First Name:CHRISTOL
Middle Name:D
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:15251 S 50TH ST
Mailing Address - Street 2:#2053
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-9104
Mailing Address - Country:US
Mailing Address - Phone:602-622-0352
Mailing Address - Fax:
Practice Address - Street 1:15251 S 50TH ST
Practice Address - Street 2:#2053
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-9104
Practice Address - Country:US
Practice Address - Phone:602-622-0352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-08
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO11604800367500000X
AZCRNA0686367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered