Healthcare Provider Details

I. General information

NPI: 1437846516
Provider Name (Legal Business Name): VALERIE WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2023
Last Update Date: 06/18/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5919 N 68TH ST. VNUBIAN2014@GMAIL.COM
MILWAUKEE WI
53218-1802
US

IV. Provider business mailing address

5919 N 68TH ST. VNUBIAN2014@GMAIL.COM
MILWAUKEE WI
53218-1802
US

V. Phone/Fax

Practice location:
  • Phone: 414-635-0024
  • Fax:
Mailing address:
  • Phone: 414-635-0024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number0020611
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: