Healthcare Provider Details

I. General information

NPI: 1669921938
Provider Name (Legal Business Name): MEGHAN WILLIAMS AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2016
Last Update Date: 10/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9770 S MCCARRAN BLVD
RENO NV
89523-9203
US

IV. Provider business mailing address

845 HUFFAKER ESTATES CIR
RENO NV
89511-2006
US

V. Phone/Fax

Practice location:
  • Phone: 775-322-4589
  • Fax:
Mailing address:
  • Phone: 775-741-7537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA-2114
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: