MEDICARE: WW NP NURSING INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	251F00000X	Home Infusion Agency
3	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1801472006
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WW NP NURSING INC

Provider Business Mailing Address
First Line	:	1475 ISLAND AVE UNIT 3901
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-8252
Country	:	US
Telephone Number	:	858-999-6948
Fax Number	:	858-724-3892

Provider Business Practice Location Address
First Line	:	1111 6TH AVE # M07
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-5209
Country	:	US
Telephone Number	:	858-999-6948
Fax Number	:	858-724-3892

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. WYTOSHERY MONEA WILLIAMS
Credential	:	NURSE PRACTITIONER
Telephone Number	:	858-436-4850

Provider Enumeration Date	:	03/19/2021
Last Update Date	:	03/14/2022

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Directions to “WW NP NURSING INC ” Practice Location

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