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Search › Maryland › 363LA2200X

Lystra Williams, CRNP

NPI 1871678995 · on the registry since 2006 · sole proprietor

Practice

Address
7310 Ritchie Hwy Ste 405
Glen Burnie, MD 21061
Phone
(410) 788-6727
Fax
(410) 788-6727
Organisation at this address
Ivory Inc
Ivory Inc
Keyona Llc
Medmart Inc
Kena Rae Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
102

Additional practice sites

  • 1300 S Ellwood Ave, Baltimore, MD
  • 1300 S Ellwood Ave, Baltimore, MD

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-12-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland