Provider Demographics
NPI:1063177210
Name:WILLIAMS-MARTIN, ANAH TRECITA (FNP)
Entity type:Individual
Prefix:MRS
First Name:ANAH
Middle Name:TRECITA
Last Name:WILLIAMS-MARTIN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Mailing Address - Street 1:8875 HIDDEN RIVER PKWY
Mailing Address - Street 2:STE 300
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33637-2087
Mailing Address - Country:US
Mailing Address - Phone:866-949-0108
Mailing Address - Fax:
Practice Address - Street 1:3030 PALM TRACE LANDINGS DR APT 301
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33314-1887
Practice Address - Country:US
Practice Address - Phone:754-217-1734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-02
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL11015819363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner