Williams, Mary Katherine

Williams, Mary Katherine is an individual health care provider with primary practice located at 2790 Godwin Blvd Suite 360, Suffolk VA 23434-8153. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Williams, Mary Katherine can be contacted via phone (757) 539-3911.

Contact Information

Primary practice address
2790 Godwin Blvd Suite 360 Suffolk VA 23434-8153
Phone: (757) 539-3911
Fax: (757) 925-0615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 0001174791 Virginia

Profile Details

NPI number 1093091175
LBN Legal business name Williams, Mary Katherine
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2011
Last updated Feb 7th, 2013 - about 13 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 1093091175 NPPES
North Carolina MEDICAID 790259H
North Carolina MEDICAID 1821133174

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