1386824530 NPI number — LORENA WHALAN WILLIAMS APRN-BC

Table of content: LORENA WHALAN WILLIAMS APRN-BC (NPI 1386824530)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386824530 NPI number — LORENA WHALAN WILLIAMS APRN-BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WILLIAMS
Provider First Name:
LORENA
Provider Middle Name:
WHALAN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
APRN-BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WHALAN
Provider Other First Name:
LORENA
Provider Other Middle Name:
KATHLEEN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
N.P.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1386824530
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/13/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2311 M ST NW
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20037-1445
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-466-3000
Provider Business Mailing Address Fax Number:
202-466-3001

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2311 M ST NW
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20037-1445
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-466-3000
Provider Business Practice Location Address Fax Number:
202-466-3001
Provider Enumeration Date:
11/05/2007

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: 363LA2200X , with the licence number:  RN1012653 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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