Healthcare Provider Details

I. General information

NPI: 1649174780
Provider Name (Legal Business Name): PRISCA AYABA WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 FOREST GLEN RD
SILVER SPRING MD
20910-1460
US

IV. Provider business mailing address

1500 FOREST GLEN RD
SILVER SPRING MD
20910-1460
US

V. Phone/Fax

Practice location:
  • Phone: 240-277-5874
  • Fax:
Mailing address:
  • Phone: 240-277-5874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License NumberR181234
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: