1962974071 NPI number — MS. DORIAN NICHOL WILLIAMS APRN-FNP-C

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962974071 NPI number — MS. DORIAN NICHOL WILLIAMS APRN-FNP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WILLIAMS
Provider First Name:
DORIAN
Provider Middle Name:
NICHOL
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
APRN-FNP-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1962974071
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/02/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5279 SHALE RIDGE TRL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ORLANDO
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32818-8750
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-987-3933
Provider Business Mailing Address Fax Number:
407-987-3933

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2582 MAGUIRE RD STE 224
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OCOEE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34761-4749
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-987-3933
Provider Business Practice Location Address Fax Number:
407-987-3933
Provider Enumeration Date:
12/31/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LP0808X , with the licence number:  4046821 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: APRN11000308 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 11000308 . This is a "FAMILY NURSE PRACTITIONER" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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