Provider Demographics
NPI:1245341866
Name:WILLIAMS, LAURA VERNER (CRNA)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:VERNER
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:W
Other - Last Name:MAKARWICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:403 LUNA CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-8240
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9160 CAROTHERS PKWY
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6688
Practice Address - Country:US
Practice Address - Phone:615-550-6066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN25945367500000X
TX556055367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8799UAOtherBCBS
TX151072903Medicaid
TX00C61QOtherBCBS
TX151072901Medicaid
TX82252UOtherBCBSTX
TXTXB117633Medicare PIN
TX00C61QOtherBCBS
TX8799UAOtherBCBS
TX00159CMedicare PIN
TX151072901Medicaid