Healthcare Provider Details

I. General information

NPI: 1982205118
Provider Name (Legal Business Name): SHERAE KAMI WILLIAMS CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2020
Last Update Date: 12/06/2021
Certification Date: 11/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19727 ROTTERDAM ST
RIVERSIDE CA
92508-6184
US

IV. Provider business mailing address

19727 ROTTERDAM ST
RIVERSIDE CA
92508-6184
US

V. Phone/Fax

Practice location:
  • Phone: 951-333-5183
  • Fax:
Mailing address:
  • Phone: 951-333-5183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: