Healthcare Provider Details

I. General information

NPI: 1730158874
Provider Name (Legal Business Name): N WYNTA WILLIAMS DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: N WYNTA WILLIAMS DPM

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 BATTLEFIELD BLVD N
CHESAPEAKE VA
23320-4735
US

IV. Provider business mailing address

PO BOX 101
STEVENSON MD
21153-0101
US

V. Phone/Fax

Practice location:
  • Phone: 844-333-8411
  • Fax: 833-764-5719
Mailing address:
  • Phone: 888-628-8272
  • Fax: 833-764-5719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number0103000797
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: