Healthcare Provider Details

I. General information

NPI: 1497370571
Provider Name (Legal Business Name): MS. DANA E WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2020
Last Update Date: 06/14/2020
Certification Date: 06/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1340 LITTLEJOHN DR
COLUMBUS OH
43227-1426
US

IV. Provider business mailing address

2585 E LIVINGSTON AVE
COLUMBUS OH
43209-2944
US

V. Phone/Fax

Practice location:
  • Phone: 641-435-7203
  • Fax:
Mailing address:
  • Phone: 614-571-4813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374T00000X
TaxonomyReligious Nonmedical Nursing Personnel
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: