Provider Demographics
NPI:1528158938
Name:WILLIAMS, DEBORAH MORSE (APRN)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:MORSE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:LYNN
Other - Last Name:MORSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2296 OPITZ BLVD
Mailing Address - Street 2:SUITE 290
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-3300
Mailing Address - Country:US
Mailing Address - Phone:703-492-7626
Mailing Address - Fax:703-492-7537
Practice Address - Street 1:2296 OPITZ BLVD
Practice Address - Street 2:SUITE 290
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-3300
Practice Address - Country:US
Practice Address - Phone:703-492-7626
Practice Address - Fax:703-492-7537
Is Sole Proprietor?:No
Enumeration Date:2006-10-14
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN140038163W00000X
TNAPN8422363L00000X
VA0024169398363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q22653Medicare UPIN
TN392986Medicare ID - Type Unspecified