Healthcare Provider Details

I. General information

NPI: 1770288029
Provider Name (Legal Business Name): RACHEL ELIZABETH EVANS WILLIAMS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2023
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 N MAIN ST
PITTSTON PA
18640-1915
US

IV. Provider business mailing address

100 N ACADEMY AVE
DANVILLE PA
17822-4903
US

V. Phone/Fax

Practice location:
  • Phone: 570-602-5620
  • Fax: 570-602-5621
Mailing address:
  • Phone: 570-602-5620
  • Fax: 570-602-5621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD494913
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: