Williams Eagleton, Kia Marie
Williams Eagleton, Kia Marie is an individual health care provider with primary practice located at 111 Olde Greenwich Dr Ste 101 , Fredericksburg VA 22408-4007. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Williams Eagleton, Kia Marie can be contacted via phone (540) 891-1200.Contact Information
Primary practice address
111 Olde Greenwich Dr Ste 101
Fredericksburg VA 22408-4007
Phone: (540) 891-1200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 26NN08813900 | New Jersey |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | TP005897X | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | RN333340L | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 0024171616 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | NR08813900 | New Jersey |
Profile Details
| NPI number | 1255392528 |
|---|---|
| LBN Legal business name | Williams Eagleton, Kia Marie |
| Credentials | MSN ANP BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Feb 27th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255392528 | NPPES |
| New Jersey | Other | 08813900 | STATE LICENSE |
| New Jersey | MEDICAID | 1255392528 | STATE LICENSE |
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