Healthcare Provider Details

I. General information

NPI: 1720932361
Provider Name (Legal Business Name): DANIELLE EVETTE WILLIAMS MSN-ED, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 02/23/2026
Certification Date: 02/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PSC 561 BOX 1877
FPO AP
96310-0019
US

IV. Provider business mailing address

PSC 561 BOX 1691
FPO AP
96310-0017
US

V. Phone/Fax

Practice location:
  • Phone: 315-255-8100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR228675
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code163WC1600X
TaxonomyContinuing Education/Staff Development Registered Nurse
License NumberR228675
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: