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Tisa Marie Williams
Gerontology Nurse Practitioner in Middletown, Ohio
NPI 1649964107

Tisa Marie Williams is a Gerontology Nurse Practitioner based in Middletown, OH and is specialized in Gerontology. Tisa Marie Williams practices in Middletown, OH. The NPI Number for Tisa Marie Williams is 1649964107 and holds a License No. APRN.CNP.0033951 (Ohio).

The current practice location address for Tisa Marie Williams is 3315 Bexley Dr, Middletown, OH and can be reached out via phone at 937-204-4043.

Location: 3315 Bexley Dr, Middletown, OH, 45042-2570
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649964107
Provider Name
Tisa Marie Williams
Credential
Provider Entity Type
Individual
Gender
Female
Address
3315 Bexley Dr, Middletown, OH, 45042-2570
Phone Number
937-204-4043
Fax Number
Provider Enumeration Date
06/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3315 Bexley Dr
City
Middletown
State
Ohio
Zip
45042-2570
Phone Number
937-204-4043
Fax Number
person
Provider Business Mailing Address Details
Address
3315 Bexley Dr
City
Middletown
State
Ohio
Zip
45042-2570
Phone Number
937-204-4043
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
APRN.CNP.0033951 (Ohio)
Definition
Definition to come...
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