Williams, Marry Lynn

Williams, Marry Lynn is an individual health care provider with primary practice located at 1850 N Central Ave Suite 1600, Phoenix AZ 85004-4527. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Williams, Marry Lynn can be contacted via phone (602) 262-8900.

Contact Information

Primary practice address
1850 N Central Ave Suite 1600 Phoenix AZ 85004-4527
Phone: (602) 262-8900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP3281552 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CRNA0874 Arizona

Profile Details

NPI number 1346242880
LBN Legal business name Williams, Marry Lynn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Mar 12th, 2019 - about 5 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 1346242880 NPPES
Florida Other G2365 BLUE CROSS & BLUE SHIELD
Florida Other 430076420 BLUE CROSS & BLUE SHIELD
Florida MEDICAID 302591800 BLUE CROSS & BLUE SHIELD
Florida Other 59072104 BLUE CROSS & BLUE SHIELD
Florida MEDICAID 009903565 BLUE CROSS & BLUE SHIELD

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