Provider Demographics
NPI:1699762724
Name:WILLIAMS, KITZA P (FNP)
Entity type:Individual
Prefix:MRS
First Name:KITZA
Middle Name:P
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 E CORBIN ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-2104
Mailing Address - Country:US
Mailing Address - Phone:919-643-7603
Mailing Address - Fax:919-643-7607
Practice Address - Street 1:101 E CORBIN ST
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-2104
Practice Address - Country:US
Practice Address - Phone:919-643-7603
Practice Address - Fax:919-643-7607
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200903363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily