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NPI Code Detail

MEDICARE: ANDREA WILLIAMS

MEDICARE: ANDREA 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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1578312963
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA WILLIAMS
Provider Business Mailing Address
First Line : 6218 COPPER LIGHT ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-6407
Country : US
Telephone Number : 702-357-8317
Fax Number : 702-357-8317
Provider Business Practice Location Address
First Line : 6218 COPPER LIGHT ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-6407
Country : US
Telephone Number : 702-357-8317
Fax Number : 702-357-8317
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2024
Last Update Date : 05/16/2024

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Directions to “ ANDREA WILLIAMS ” Practice Location

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