Delores R. Williams, FNP-C
Nurse Practitioner, Family in Fayetteville, NC. Individual provider (NPI-1).
NPI number1619976537
StatusActive
Last updated in NPPESDec 3, 2014
Details
- NPI
- 1619976537
- Entity type
- Individual (NPI-1)
- Name
- Delores R. Williams
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2005
- Last updated
- Dec 3, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 201822 | NC | Yes |
Practice location
557 Sandhurst DrFayetteville, NC 28304-4433
Phone 910-484-8114 · Fax 910-484-1564
Mailing address
557 Sandhurst DrFayetteville, NC 28304-4433
Phone 910-484-8114 · Fax 910-484-1564
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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