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NPI Code Detail

MEDICARE: MS. SIERRA-LEONE' MICHELLE WILLIAMS

MEDICARE: MS. SIERRA-LEONE' MICHELLE 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 AttendantNV

General Provider Information

NPI Number : 1629912274
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SIERRA-LEONE' MICHELLE WILLIAMS
Provider Business Mailing Address
First Line : 2138 SLEEPY CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-3696
Country : US
Telephone Number : 702-888-4022
Fax Number :
Provider Business Practice Location Address
First Line : 1845 BANABA LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89156-6892
Country : US
Telephone Number : 702-888-4022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2026
Last Update Date : 04/15/2026

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