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NPI Code Detail

MEDICARE: MS. EMMA L WILLIAMS RN

MEDICARE:  MS. EMMA L 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
1163W00000XRegistered NurseRN-228661OH
2163WH0200XHome Health Registered NurseRN-228661OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093926172
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. EMMA L WILLIAMS RN
Provider Business Mailing Address
First Line : 1515 FRUITLAND AVE
Second Line :
City : MAYFIELD HEIGHTS
State : OH
Zip : 44124-3401
Country : US
Telephone Number : 440-684-1933
Fax Number :
Provider Business Practice Location Address
First Line : 1515 FRUITLAND AVE
Second Line :
City : MAYFIELD HEIGHTS
State : OH
Zip : 44124-3401
Country : US
Telephone Number : 440-684-1933
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 06/08/2011

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Directions to “ MS. EMMA L WILLIAMS RN” Practice Location

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