Individual provider · NPI-1
Fionda Williams Brock, DN, MS, MSN, RN
Registered Nurse · Bullhead City, AZ
NPI number1609645241
StatusActive
Last updated in NPPESDec 22, 2023
Details
- NPI
- 1609645241
- Entity type
- Individual (NPI-1)
- Name
- Fionda Williams Brock
- Credential
- DN, MS, MSN, RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 22, 2023
- Certification date
- Dec 22, 2023
- Last updated
- Dec 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN160112 | AZ | Yes |
| 163WC1500X | Registered Nurse, Community Health | RN160112 | AZ | |
| 163WH0200X | Registered Nurse, Home Health | RN160112 | AZ | |
| 163WM0102X | Registered Nurse, Maternal Newborn | RN160112 | AZ | |
| 163WP2201X | Registered Nurse, Ambulatory Care | RN160112 | AZ | |
| 163WW0101X | Registered Nurse, Women's Health Care, Ambulatory | RN160112 | AZ | |
| 171400000X | Health & Wellness Coach | – | – | |
| 246ZB0500X | Specialist/Technologist, Other, Biochemist | – | – |
Other names
- Fionda Williams (Former Name)
Practice location
1360 William Hardy DrBullhead City, AZ 86429-1146
Phone 702-427-9800
Mailing address
2251 Highway 68Bullhead City, AZ 86429-8959
Phone 702-427-9800
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