MEDICARE: SHADONNA WILLIAMS CNM

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	367A00000X	Advanced Practice Midwife	0024182531	VA
2	367A00000X	Advanced Practice Midwife	R200078	MD

General Provider Information

NPI Number	:	1639758733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHADONNA WILLIAMS CNM

Provider Business Mailing Address
First Line	:	1442 ADDISON RD S
Second Line	:
City	:	CAPITOL HEIGHTS
State	:	MD
Zip	:	20743-4413
Country	:	US
Telephone Number	:	301-888-2233
Fax Number	:

Provider Business Practice Location Address
First Line	:	1442 ADDISON RD S
Second Line	:
City	:	CAPITOL HEIGHTS
State	:	MD
Zip	:	20743-4413
Country	:	US
Telephone Number	:	304-888-2233
Fax Number	:	301-997-1489

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

Provider Enumeration Date	:	04/06/2021
Last Update Date	:	06/16/2026

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Directions to “ SHADONNA WILLIAMS CNM” Practice Location

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