Healthcare Provider Details

I. General information

NPI: 1710825062
Provider Name (Legal Business Name): SINSERRIA WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 N 40TH ST APT 302K
GRAND FORKS ND
58203-8515
US

IV. Provider business mailing address

715 N 40TH ST APT 302K
GRAND FORKS ND
58203-8515
US

V. Phone/Fax

Practice location:
  • Phone: 916-388-4557
  • Fax:
Mailing address:
  • Phone: 916-388-4557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number0007429086
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: