Most Relevant Information
Provider Data
NPI Number: | 1003571209 |
Provider Name: | SAMANTHA WILLIAMS FNP-BC |
Entity Type: | Individual |
Taxonomy Code: | 163WE0003X |
Specialty: | Registered Nurse |
License Number: | RN2291233 |
Most Important Dates
Enumeration Date: | 11/02/2021 |
Last Updated: | 11/17/2023 |
Provider Practice Location
55 LAKE AVE N
WORCESTER
MA
016550002
Practice Location Phone/Fax
Phone: | 5084211400 |
Fax: | 5084211490 |
Provider Mailing Location
PO BOX 415348
BOSTON
MA
022415348
Provider Mailing Phone/Fax
Phone: | |
Fax: |