MEDICARE: MRS. MARCIA ELAINE WILLIAMS REGISTERED NURSE

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	RN3108002	FL

General Provider Information

NPI Number	:	1952284655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARCIA ELAINE WILLIAMS REGISTERED NURSE

Provider Business Mailing Address
First Line	:	11033 GLENWOOD DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-7755
Country	:	US
Telephone Number	:	954-994-5050
Fax Number	:	754-702-3502

Provider Business Practice Location Address
First Line	:	11033 GLENWOOD DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-7755
Country	:	US
Telephone Number	:	954-994-5050
Fax Number	:	754-702-3502

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

Provider Enumeration Date	:	07/29/2025
Last Update Date	:	07/29/2025

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