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Provider Information for 1558718916

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

SHIRLEY FRECKLETON-WILLIAMS

Other Name:   SHIRLEY FRECKLETON-WILLIAMS
Gender: FEMALE

Individual NPI: 1558718916

Calendar   Last Updated:  2018-12-23
  Certification Date: 

Details

Name Value
NPI 1558718916
Enumeration Date 2016-05-16
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 6804 CECELIA DR
NEW PORT RICHEY, FL 34653-4935
United States

Phone: 855-232-0644 | Fax: 888-546-0488
View Map External Link
Primary Practice Address 13110 NW 11TH DRIVE
SUNRISE, FL 33323
United States

Phone: 954-260-9739 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 363LP2300X - Nurse Practitioner Primary Care FL ARNP2619372
No 364SF0001X - Clinical Nurse Specialist Family Health FL ARNP2619372