Provider Demographics
NPI:1649318825
Name:WILLIAMSON, SANDRA CATHER (CNM, ARNP, MSN)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:CATHER
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:CNM, ARNP, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:301 S MAITLAND AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-5631
Mailing Address - Country:US
Mailing Address - Phone:407-644-9730
Mailing Address - Fax:407-645-4799
Practice Address - Street 1:301 S MAITLAND AVE
Practice Address - Street 2:SUITE A
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-5631
Practice Address - Country:US
Practice Address - Phone:407-644-9730
Practice Address - Fax:407-645-4799
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL66718-2367A00000X
FLARNP667182363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife