Healthcare Provider Details

I. General information

NPI: 1285488759
Provider Name (Legal Business Name): SHEILA ROCHELLE WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2024
Last Update Date: 06/13/2024
Certification Date: 06/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1316 EUCLID ST NW APT BA4
WASHINGTON DC
20009-4833
US

IV. Provider business mailing address

1316 EUCLID ST NW APT BA435K
WASHINGTON DC
20009-4810
US

V. Phone/Fax

Practice location:
  • Phone: 202-794-2032
  • Fax:
Mailing address:
  • Phone: 202-794-2032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SC1501X
TaxonomyCommunity Health/Public Health Clinical Nurse Specialist
License NumberNA0000813733
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberNA0000813733
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: