Provider Demographics
NPI:1912999517
Name:WILLIAMS, SONYA B (CRNP)
Entity Type:Individual
Prefix:MS
First Name:SONYA
Middle Name:B
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:SONYA
Other - Middle Name:R
Other - Last Name:BECHTEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:1111 BENFIELD BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-3002
Mailing Address - Country:US
Mailing Address - Phone:410-729-5100
Mailing Address - Fax:410-729-5156
Practice Address - Street 1:1509 RITCHIE HWY
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-2742
Practice Address - Country:US
Practice Address - Phone:410-757-7600
Practice Address - Fax:410-626-8043
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR154267363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD6279843OtherAETNA HMO
MD640732-02OtherCAREFIRST MD RENDERING
MD7202558OtherAETNA PPO
MD7605-0073OtherCAREFIRST BLUECHOICE
MDP00256986OtherRAILROAD MEDICARE
MD111137OtherJHHC PROVIDER NUMBER
MD407664800Medicaid
MD407664800Medicaid
MD226LL406Medicare PIN