Provider Demographics
NPI:1841693405
Name:WILLIAMS, AVA (DNP, CRNP, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:AVA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:
Credentials:DNP, CRNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5850 WATERLOO RD STE 140
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-1944
Mailing Address - Country:US
Mailing Address - Phone:443-325-7282
Mailing Address - Fax:
Practice Address - Street 1:5850 WATERLOO RD STE 140
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-1944
Practice Address - Country:US
Practice Address - Phone:443-325-7282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-26
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR205564163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse