MEDICARE: ELIZABETH NESBITT-WILLIAMS RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN9220412	FL

General Provider Information

NPI Number	:	1043676828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH NESBITT-WILLIAMS RN

Provider Business Mailing Address
First Line	:	2470 NW 170TH TER
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-4536
Country	:	US
Telephone Number	:	786-261-7442
Fax Number	:

Provider Business Practice Location Address
First Line	:	2470 NW 170TH TER
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-4536
Country	:	US
Telephone Number	:	786-261-7442
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2016
Last Update Date	:	01/08/2016

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