Williams, Coreen J

Williams, Coreen J is an individual health care provider with primary practice located at 834 Sheridan St , Port Townsend WA 98368-2443. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Williams, Coreen J can be contacted via phone (360) 385-2200.

Contact Information

Primary practice address
834 Sheridan St Port Townsend WA 98368-2443
Phone: (360) 385-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60576934 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CW151039 Michigan

Profile Details

NPI number 1740236561
LBN Legal business name Williams, Coreen J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Mar 21st, 2026 - about 8 months 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 1740236561 NPPES
Michigan MEDICAID 4873484
Michigan Other 0F06016
Michigan MEDICAID 2142185

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