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NPI Code Detail

MEDICARE: RACHEL MARIE WILLIAMS

MEDICARE: RACHEL MARIE 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
1106S00000XBehavior Technician
2163WP0808XPsychiatric/Mental Health Registered Nurse822615NV

General Provider Information

NPI Number : 1528718038
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL MARIE WILLIAMS
Provider Business Mailing Address
First Line : 9012 IRON HITCH AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89143-4438
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3247 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2412
Country : US
Telephone Number : 702-776-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2022
Last Update Date : 12/06/2024

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