Williams, Mary Kaye
Williams, Mary Kaye is an individual health care provider with primary practice located at 11270 N Port Washington Rd , Mequon WI 53092-3410. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Williams, Mary Kaye can be contacted via phone (866) 825-3227.Contact Information
Primary practice address
11270 N Port Washington Rd
Mequon WI 53092-3410
Phone: (866) 825-3227
Fax: (484) 450-2617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1002-033 | Wisconsin |
Profile Details
| NPI number | 1144415068 |
|---|---|
| LBN Legal business name | Williams, Mary Kaye |
| Credentials | APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2007 |
| Last updated | Sep 13th, 2007 - about 17 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 | 1144415068 | NPPES |
| Wisconsin | Other | 1002-033 | APNP LICENSE |
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