Provider Demographics
NPI:1124644232
Name:WILLIAMS, HELINA (AGNP-C)
Entity type:Individual
Prefix:
First Name:HELINA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 N BEAUREGARD ST STE 350
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22311-1725
Mailing Address - Country:US
Mailing Address - Phone:703-933-8125
Mailing Address - Fax:703-933-8216
Practice Address - Street 1:1800 N BEAUREGARD ST STE 350
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22311-1725
Practice Address - Country:US
Practice Address - Phone:703-933-8125
Practice Address - Fax:703-933-8216
Is Sole Proprietor?:No
Enumeration Date:2020-06-24
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001240964163W00000X
VA0024179676363LA2200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1124644232Medicaid
VAVVZ890AOtherMEDICARE PTAN