Healthcare Provider Details

I. General information

NPI: 1720836794
Provider Name (Legal Business Name): HANNAH MARIE WILLIAMS AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2024
Last Update Date: 01/10/2026
Certification Date: 01/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 N 6TH ST
GROTON SD
57445-2045
US

IV. Provider business mailing address

214 N 6TH ST
GROTON SD
57445-2045
US

V. Phone/Fax

Practice location:
  • Phone: 605-857-1412
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1135-A
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: