Healthcare Provider Details

I. General information

NPI: 1649779851
Provider Name (Legal Business Name): NAISHA WILLIAMS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2018
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5999 HARPERS FARM RD STE W230
COLUMBIA MD
21044-3025
US

IV. Provider business mailing address

5999 HARPERS FARM RD STE W230
COLUMBIA MD
21044-3025
US

V. Phone/Fax

Practice location:
  • Phone: 410-834-1480
  • Fax:
Mailing address:
  • Phone: 410-834-1480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberMD005349
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: