Provider Demographics
NPI:1538714332
Name:WILLIAMS, TRACEE ROBERSON (APRN)
Entity type:Individual
Prefix:MRS
First Name:TRACEE
Middle Name:ROBERSON
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1609 NW 29TH RD APT 138
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-3038
Mailing Address - Country:US
Mailing Address - Phone:863-605-0616
Mailing Address - Fax:
Practice Address - Street 1:2004 MOWRY RD
Practice Address - Street 2:UF INSTITUE ON AGING; DEPARTMENT OF AGING AND GERIATRIC
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32603
Practice Address - Country:US
Practice Address - Phone:352-294-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11003447363LG0600X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care