Williams, Erica

Williams, Erica is an individual health care provider with primary practice located at 580 Cottage Grove Rd , Bloomfield CT 06002-3088. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Williams, Erica can be contacted via phone (860) 243-8709.

Contact Information

Primary practice address
580 Cottage Grove Rd Bloomfield CT 06002-3088
Phone: (860) 243-8709
Fax: (860) 243-8259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6172 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 006172 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6172 Connecticut

Profile Details

NPI number 1649655895
LBN Legal business name Williams, Erica
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2015
Last updated Jun 22nd, 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 1649655895 NPPES
Connecticut Other 6172 STATE OF CONNECTICUT
Connecticut MEDICAID 008061416 STATE OF CONNECTICUT

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