Provider Demographics
NPI:1821882333
Name:WILLIAMS, ELLEN LYNETTE (MS, RN, FNP-BC)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:LYNETTE
Last Name:WILLIAMS
Suffix:
Gender:
Credentials:MS, RN, FNP-BC
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4 MORNINGSIDE TER
Mailing Address - Street 2:
Mailing Address - City:COHOES
Mailing Address - State:NY
Mailing Address - Zip Code:12047-2105
Mailing Address - Country:US
Mailing Address - Phone:518-928-9833
Mailing Address - Fax:
Practice Address - Street 1:2420 RIVERFRONT CTR
Practice Address - Street 2:
Practice Address - City:AMSTERDAM
Practice Address - State:NY
Practice Address - Zip Code:12010-4612
Practice Address - Country:US
Practice Address - Phone:518-627-0469
Practice Address - Fax:518-842-5187
Is Sole Proprietor?:No
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY356261363LP0200X, 363LA2200X, 363LW0102X, 363LX0001X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology