MEDICARE: MICHELLE WILLIAMS RN

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	163W00000X	Registered Nurse	532686	NY

General Provider Information

NPI Number	:	1861899007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE WILLIAMS RN

Provider Business Mailing Address
First Line	:	1027 E 221ST ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-1231
Country	:	US
Telephone Number	:	347-449-6214
Fax Number	:

Provider Business Practice Location Address
First Line	:	1027 E 221ST ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-1231
Country	:	US
Telephone Number	:	347-449-6214
Fax Number	:

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

Provider Enumeration Date	:	12/03/2014
Last Update Date	:	12/03/2014

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Directions to “ MICHELLE WILLIAMS RN” Practice Location

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