Healthcare Provider Details

I. General information

NPI: 1487651196
Provider Name (Legal Business Name): DONNA MARIE WILLIAMS CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 05/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7630 RIVERS EDGE DR
COLUMBUS OH
43235-1337
US

IV. Provider business mailing address

5350 FRANTZ RD
DUBLIN OH
43016-4259
US

V. Phone/Fax

Practice location:
  • Phone: 614-533-4000
  • Fax: 614-540-3979
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberNS-00200
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN-131787
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: