Provider Demographics
NPI:1144054529
Name:WILLIAMS, TANYA KAY (FNP-C)
Entity type:Individual
Prefix:MS
First Name:TANYA
Middle Name:KAY
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 CHESSER LOOP RD
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:AL
Mailing Address - Zip Code:35043-8327
Mailing Address - Country:US
Mailing Address - Phone:256-786-0655
Mailing Address - Fax:
Practice Address - Street 1:105 CHESSER LOOP RD
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:AL
Practice Address - Zip Code:35043-8327
Practice Address - Country:US
Practice Address - Phone:256-786-0655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALF07240382363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily