Provider Demographics
NPI:1487051173
Name:WILLIAMS, JULIE VIVIAN (NP)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:VIVIAN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 GREEN RD STE 300
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-1575
Mailing Address - Country:US
Mailing Address - Phone:734-712-1881
Mailing Address - Fax:
Practice Address - Street 1:2000 GREEN RD, STE 300
Practice Address - Street 2:DEPT. OF EMERGENCY MEDICINE
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105
Practice Address - Country:US
Practice Address - Phone:734-712-1881
Practice Address - Fax:804-628-0384
Is Sole Proprietor?:No
Enumeration Date:2014-11-25
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024172076363LG0600X
MI4704339208363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner