Williams, Brandon Michael

Williams, Brandon Michael is an individual health care provider with primary practice located at 2710 S Rife Medical Ln , Rogers AR 72758-1452. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Williams, Brandon Michael can be contacted via phone (479) 338-8000.

Contact Information

Primary practice address
2710 S Rife Medical Ln Rogers AR 72758-1452
Phone: (479) 338-8000
Fax: (479) 338-3056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R093973 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C003142 Arkansas

Profile Details

NPI number 1841659315
LBN Legal business name Williams, Brandon Michael
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2016
Last updated Jun 18th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841659315 NPPES
Arkansas Other 1D7722 BCBS ARKANSAS
Arkansas MEDICAID 214923001 BCBS ARKANSAS
Arkansas MEDICAID 910084593 BCBS ARKANSAS

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