Williams, Samantha

Williams, Samantha is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Williams, Samantha can be contacted via phone (508) 421-1400.

Contact Information

Primary practice address
55 Lake Ave N Worcester MA 01655-0002
Phone: (508) 421-1400
Fax: (508) 421-1490
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X RN2291233 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN2291233 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN2291233 Massachusetts

Profile Details

NPI number 1003571209
LBN Legal business name Williams, Samantha
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2021
Last updated Nov 17th, 2023 - about last year

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 1003571209 NPPES
Massachusetts MEDICAID 110181284A

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