Healthcare Provider Details

I. General information

NPI: 1669600730
Provider Name (Legal Business Name): BILLITA WILLIAMS CFNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2009
Last Update Date: 10/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10400 NEW HAVEN RD
HARRISON OH
45030-1657
US

IV. Provider business mailing address

2415 AUBURN AVE
CINCINNATI OH
45219-2701
US

V. Phone/Fax

Practice location:
  • Phone: 513-367-5888
  • Fax: 513-367-1015
Mailing address:
  • Phone: 513-221-4949
  • Fax: 513-241-4191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP-10810
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: