Provider Demographics
NPI:1285711176
Name:WILLIAMS, CYNTHIA ELIZABETH (APRN, BC)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:ELIZABETH
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:MRS
Other - First Name:CYNTHIA
Other - Middle Name:E
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NURSE PRACITIONER
Mailing Address - Street 1:12619 BEECHFERN LN
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20715-2438
Mailing Address - Country:US
Mailing Address - Phone:301-805-7914
Mailing Address - Fax:
Practice Address - Street 1:50 IRVING ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20422-0001
Practice Address - Country:US
Practice Address - Phone:202-745-6166
Practice Address - Fax:202-745-8356
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN63705363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health