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Patresa Harris-williams
Primary Care Nurse Practitioner in O Fallon, Illinois
NPI 1407459522

Patresa Harris-williams is a Primary Care Nurse Practitioner based in Swansea, IL and is specialized in Primary Care. Patresa Harris-williams practices in O Fallon, IL. The NPI Number for Patresa Harris-williams is 1407459522 and holds a License No. 209019080 (Illinois).

The current practice location address for Patresa Harris-williams is 2 Eagle Ctr # 2, O Fallon, IL and can be reached out via phone at 618-606-9119.

Location: 2 Eagle Ctr # 2, O Fallon, IL, 62226-7587
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407459522
Provider Name
Patresa Harris-williams
Credential
Provider Entity Type
Individual
Gender
Female
Address
2 Eagle Ctr # 2, O Fallon, IL, 62226-7587
Phone Number
618-606-9119
Fax Number
Provider Enumeration Date
11/19/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2 Eagle Ctr # 2
City
O Fallon
State
Illinois
Zip
62269-1847
Phone Number
618-606-9119
Fax Number
person
Provider Business Mailing Address Details
Address
2 Eagle Ctr # 2
City
O Fallon
State
Illinois
Zip
62269-1847
Phone Number
618-606-9119
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
209019080 (Illinois)
Definition
Definition to come...
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