MEDICARE: DANA L WILLIAMS

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	1757585	MN

General Provider Information

NPI Number	:	1316734924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA L WILLIAMS

Provider Business Mailing Address
First Line	:	3175 AVALON COVE CT NW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55901-8498
Country	:	US
Telephone Number	:	608-438-9335
Fax Number	:	608-438-9335

Provider Business Practice Location Address
First Line	:	3175 AVALON COVE CT NW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55901-8498
Country	:	US
Telephone Number	:	608-438-9335
Fax Number	:	608-438-9335

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

Provider Enumeration Date	:	04/24/2025
Last Update Date	:	04/24/2025

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Directions to “ DANA L WILLIAMS ” Practice Location

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