MEDICARE: MRS. TAMLA EUGENA 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	163WS0200X	School Registered Nurse	R144910	MD

General Provider Information

NPI Number	:	1265651012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TAMLA EUGENA WILLIAMS RN

Provider Business Mailing Address
First Line	:	7660 RIDGE CHAPEL RD
Second Line	:
City	:	HANOVER
State	:	MD
Zip	:	21076-1501
Country	:	US
Telephone Number	:	410-222-6930
Fax Number	:	410-222-6932

Provider Business Practice Location Address
First Line	:	7660 RIDGE CHAPEL RD
Second Line	:
City	:	HANOVER
State	:	MD
Zip	:	21076-1501
Country	:	US
Telephone Number	:	410-222-6930
Fax Number	:	410-222-6932

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

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	07/08/2007

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