Provider Demographics
NPI:1255756276
Name:WILLIAMSON, MARY ANN (RN FNP)
Entity type:Individual
Prefix:
First Name:MARY ANN
Middle Name:
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:RN FNP
Other - Prefix:
Other - First Name:MARY ANN
Other - Middle Name:
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN FNP
Mailing Address - Street 1:207 CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023-3119
Mailing Address - Country:US
Mailing Address - Phone:805-646-4386
Mailing Address - Fax:805-646-9188
Practice Address - Street 1:207 CHURCH RD
Practice Address - Street 2:
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-3119
Practice Address - Country:US
Practice Address - Phone:805-646-4386
Practice Address - Fax:805-646-9188
Is Sole Proprietor?:No
Enumeration Date:2014-02-27
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3148363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily