Healthcare Provider Details

I. General information

NPI: 1043180797
Provider Name (Legal Business Name): HEATHER LEE WILLIAMS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2025
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 CHILDRENS LN
NORFOLK VA
23507-1971
US

IV. Provider business mailing address

1362 BOXWOOD CIR
NORFOLK VA
23518-2844
US

V. Phone/Fax

Practice location:
  • Phone: 757-668-7237
  • Fax: 757-668-8215
Mailing address:
  • Phone: 757-668-7237
  • Fax: 757-668-8215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001330041
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: