MEDICARE: MISS NICOLE JOSEPHINE WILLIAMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	221700000X	Art Therapist
2	225A00000X	Music Therapist
3	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1144008327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS NICOLE JOSEPHINE WILLIAMS

Provider Business Mailing Address
First Line	:	1340 LITTLEJOHN DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43227-1426
Country	:	US
Telephone Number	:	614-254-0431
Fax Number	:

Provider Business Practice Location Address
First Line	:	1340 LITTLEJOHN DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43227-1426
Country	:	US
Telephone Number	:	614-254-0431
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2023
Last Update Date	:	09/19/2023

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