Healthcare Provider Details

I. General information

NPI: 1245154400
Provider Name (Legal Business Name): MICHELLE RENEE WILLIAMS RN, PNHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

529 E 108TH ST
CLEVELAND OH
44108-1435
US

IV. Provider business mailing address

529 E 108TH ST
CLEVELAND OH
44108-1435
US

V. Phone/Fax

Practice location:
  • Phone: 216-659-5433
  • Fax:
Mailing address:
  • Phone: 216-659-5433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0042777
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: