Healthcare Provider Details

I. General information

NPI: 1528983525
Provider Name (Legal Business Name): CALEB WILLIAMS NRP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11600 NORTON COEBURN RD
COEBURN VA
24230-6449
US

IV. Provider business mailing address

11600 NORTON COEBURN RD
COEBURN VA
24230-6449
US

V. Phone/Fax

Practice location:
  • Phone: 276-395-6466
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberE201903356
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: