Williams, Gwen Renee
Williams, Gwen Renee is an individual health care provider with primary practice located at 1680 Calle De Alvarez Ste B, Las Cruces NM 88005-3821. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Williams, Gwen Renee can be contacted via phone (575) 524-3346.Contact Information
Primary practice address
1680 Calle De Alvarez Ste B
Las Cruces NM 88005-3821
Phone: (575) 524-3346
Fax: (575) 524-1720
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R50209 | New Mexico |
Profile Details
| NPI number | 1083610554 |
|---|---|
| LBN Legal business name | Williams, Gwen Renee |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Jun 21st, 2012 - about 12 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 | 1083610554 | NPPES |
| New Mexico | MEDICAID | 85174271 |
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