Provider Demographics
NPI:1992080139
Name:WILLIAMS, DORIANNE EMILY (FNP)
Entity type:Individual
Prefix:
First Name:DORIANNE
Middle Name:EMILY
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 CENTER AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:KODIAK
Mailing Address - State:AK
Mailing Address - Zip Code:99615-6393
Mailing Address - Country:US
Mailing Address - Phone:907-486-4183
Mailing Address - Fax:907-486-4233
Practice Address - Street 1:104 CENTER AVE STE 100
Practice Address - Street 2:
Practice Address - City:KODIAK
Practice Address - State:AK
Practice Address - Zip Code:99615-6393
Practice Address - Country:US
Practice Address - Phone:907-486-4183
Practice Address - Fax:907-486-4233
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ271889363LF0000X
UT12244942-4405363LF0000X
HI2116363LF0000X
COAPN.0997594-NP363LF0000X
CA22890363LF0000X
WAAP61155657363LF0000X
DCNP200003188363LF0000X
ID70426363LF0000X
IL209.030112363LF0000X
MTAPRN-193044363LF0000X
MN11304363LF0000X
NDR52095363LF0000X
NM67623363LF0000X
NV845523363LF0000X
AKNURU1259363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily