Basic Information
| Provider Information | |||||||||
| NPI: | 1235198466 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WILLIAMS | ||||||||
| FirstName: | CATHERINE | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | CRNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1900 BRIDGE ST | ||||||||
| Address2: | |||||||||
| City: | NEW CUMBERLAND | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170701127 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177747041 | ||||||||
| FaxNumber: | 7177743213 | ||||||||
| Practice Location | |||||||||
| Address1: | 1900 BRIDGE ST | ||||||||
| Address2: | |||||||||
| City: | NEW CUMBERLAND | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170701127 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177747041 | ||||||||
| FaxNumber: | 7177743213 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/17/2006 | ||||||||
| LastUpdateDate: | 10/12/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | SP-002192-B | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.