Healthcare Provider Details

I. General information

NPI: 1437960283
Provider Name (Legal Business Name): QAMRA WILLIAMS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2025
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5536 CHESTER AVE
PHILADELPHIA PA
19143-4831
US

IV. Provider business mailing address

478 CALDWELL LN
HORSHAM PA
19044-1125
US

V. Phone/Fax

Practice location:
  • Phone: 215-681-0748
  • Fax:
Mailing address:
  • Phone: 215-681-0748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License NumberRN635610
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: