SANDRA K. WILLIAMS APN NPI 1639380447

NPI Information

  • NPI: 1639380447
  • Provider Name: SANDRA K. WILLIAMS, APN
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 12655 OLIVE BLVD
    4TH FLOOR
    SAINT LOUIS, MO
    ZIP 63141
  • Phone: (314) 517-4832

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NPI Details

Sandra K. Williams, APN is an adult health nurse practitioner in Saint Louis, MO. Sandra K. Williams, APN NPI is 1639380447. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12655 OLIVE BLVD
4TH FLOOR
SAINT LOUIS, MO
ZIP 63141-362
Phone: (314) 517-4832
Fax: (314) 851-4445

The enumeration date for this NPI number is 5/24/2007 and was last updated on 5/12/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC0400XRegistered NurseCase Management061769MISSOURINo
2363LA2200XNurse PractitionerAdult Health209-004555ILLINOISNo
3363LA2200XNurse PractitionerAdult Health061769MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1124510013MEDICARE PINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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