Healthcare Provider Details

I. General information

NPI: 1952845877
Provider Name (Legal Business Name): RHEA T. WILLIAMS CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RHEA HUSBANDS

II. Dates (important events)

Enumeration Date: 12/12/2016
Last Update Date: 06/16/2023
Certification Date: 06/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 LINDEN AVE FL 7
BALTIMORE MD
21201-4622
US

IV. Provider business mailing address

PO BOX 64442
BALTIMORE MD
21264-4442
US

V. Phone/Fax

Practice location:
  • Phone: 410-225-8369
  • Fax: 443-552-2685
Mailing address:
  • Phone: 410-328-8040
  • Fax: 443-462-3514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR192750
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR192750
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR192750
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: