| Amanda Florence Williams, ARNP | |
|
6415 Central Ave, Clinton, WA 98236 | |
| (206) 940-5477 | |
| Not Available |
| Full Name | Amanda Florence Williams |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 6415 Central Ave, Clinton, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649907627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN00135239 (Washington) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 61353027 (Washington) | Primary |
| Entity Name | Providence Health & Services-wa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336390442 PECOS PAC ID: 0648330787 Enrollment ID: O20090106000737 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Florence Williams, ARNP 6415 Central Ave, Clinton, WA 98236-9605 Ph: (206) 940-5477 | Amanda Florence Williams, ARNP 6415 Central Ave, Clinton, WA 98236 Ph: (206) 940-5477 |
Vicki R Werve, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11245 Sr 525, Clinton, WA 98236 Phone: 360-341-5252 Fax: 360-341-8727 | |
Tevon Andre Dubois, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3473 Wildes Rd, Clinton, WA 98236 Phone: 206-551-3587 | |
Sharon Kay Corriveau, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8150 Lopez Dr, Clinton, WA 98236 Phone: 703-380-2189 | |
Chanel Jost, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3491 Wildes Rd, Clinton, WA 98236 Phone: 703-300-1880 |