person
Lystra Eastlyn Williams, CRNP
Adult Health Nurse Practitioner in Glen Burnie, Maryland
NPI 1871678995

Lystra Eastlyn Williams is an Adult Health Nurse Practitioner based in Catonsville, MD and is specialized in Adult Health. Lystra Eastlyn Williams practices in Glen Burnie, MD and has the professional credentials of CRNP. The NPI Number for Lystra Eastlyn Williams is 1871678995 and holds a License No. R132674 (Maryland).

The current practice location address for Lystra Eastlyn Williams is 7310 Ritchie Hwy Ste 405, Glen Burnie, MD and can be reached out via phone at 410-788-6727 and via fax at 410-788-6727. You can also correspond with Lystra Eastlyn Williams through the mailing address at 2 W ROLLING XRDS STE 111, CATONSVILLE, MD - 21228-6204 (mailing address contact number: 410-788-6727).

Location: 7310 Ritchie Hwy Ste 405, Glen Burnie, MD, 21228-6204
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Provider Profile Details
NPI Number
1871678995
Provider Name
Lystra Eastlyn Williams
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
7310 Ritchie Hwy Ste 405, Glen Burnie, MD, 21228-6204
Phone Number
410-788-6727
Fax Number
410-788-6727
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
011706400 05 MD
institution
Provider Business Practice Location Address Details
Address
7310 Ritchie Hwy Ste 405
City
State
Zip
21061
Phone Number
410-788-6727
Fax Number
410-788-6727
person
Provider Business Mailing Address Details
Address
7310 Ritchie Hwy Ste 405
City
State
Zip
21061
Phone Number
410-788-6727
Fax Number
410-788-6727
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
R132674 (Maryland)
Definition
Definition to come...
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