Provider Demographics
NPI:1285612804
Name:WILLIAMS, PAMELA B (NP)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:B
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 RYAN RD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-3437
Mailing Address - Country:US
Mailing Address - Phone:413-207-1016
Mailing Address - Fax:413-301-6007
Practice Address - Street 1:20 MAPLE STREET
Practice Address - Street 2:3RD FLOOR SUITE 3
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01103
Practice Address - Country:US
Practice Address - Phone:413-707-8100
Practice Address - Fax:413-301-6007
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA174702364SP0808X, 363LP0808X, 163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
N50523Medicare UPIN