Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charlaine Ida Williamson, NP

Individual provider Family Nurse Practitioner · NPI 1932408960

Charlaine Ida Williamson, NP is a Nurse Practitioner in Rancho Cucamonga, California. Qualified in 2010, 16 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
16
Licensed in
CA
In the registry since
2011
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

9170 Haven Ave Ste 120
Rancho Cucamonga, CA 91730-5416
Phone: (909) 476-8700
Fax: (909) 987-1400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 E Valencia Mesa Dr Ste 105, Fullerton, CA 92835-3816 — (714) 446-5640

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 19923 (CA)

Record details

NPI number1932408960
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 16, 2011
Last updated in NPPESApril 13, 2021
Certification dateApril 13, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Rancho Cucamonga