Provider Demographics
NPI:1386729770
Name:WILLIAMS, ANGELA P (RN)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:P
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1856 THOMPSON BRIDGE RD
Mailing Address - Street 2:# 3
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-1663
Mailing Address - Country:US
Mailing Address - Phone:770-535-6907
Mailing Address - Fax:
Practice Address - Street 1:1856 THOMPSON BRIDGE RD
Practice Address - Street 2:# 3
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-1663
Practice Address - Country:US
Practice Address - Phone:770-535-6907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN 132127163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health