Basic Information
Provider Information
NPI: 1023200318
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WILLIAMS
FirstName: CYNTHIA
MiddleName: Y
NamePrefix:  
NameSuffix:  
Credential: NP
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Mailing Information
Address1: 200 HYGEIA DRIVE
Address2: CHRISTIANA CARE HEALTH SERVICES INC. SUITE 2502
City: NEWARK
State: DE
PostalCode: 197132049
CountryCode: US
TelephoneNumber: 3026237362
FaxNumber: 3026237374
Practice Location
Address1: 1400 N WASHINGTON ST
Address2: WILMINGTON HOSPITAL ANNEX
City: WILMINGTON
State: DE
PostalCode: 198011024
CountryCode: US
TelephoneNumber: 3022551300
FaxNumber: 3022551374
Other Information
ProviderEnumerationDate: 08/10/2007
LastUpdateDate: 08/10/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XAPN-0001403DEY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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