Provider Demographics
NPI:1215060272
Name:WILLIAMS, PAMELA M (CRNP)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1019 N WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-1201
Mailing Address - Country:US
Mailing Address - Phone:302-424-6120
Mailing Address - Fax:302-424-6127
Practice Address - Street 1:1019 N WALNUT ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1201
Practice Address - Country:US
Practice Address - Phone:302-424-6120
Practice Address - Fax:302-424-6127
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELH-0000120363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health