MEDICARE: WILLIAMS, LINDA M. M. WILLIAMS, LINDA M.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator		UT

General Provider Information

NPI Number	:	1275496861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAMS, LINDA M. M. WILLIAMS, LINDA M.

Provider Business Mailing Address
First Line	:	615 RIDGEVIEW DR
Second Line	:
City	:	MESQUITE
State	:	NV
Zip	:	89027-7600
Country	:	US
Telephone Number	:	928-641-8314
Fax Number	:

Provider Business Practice Location Address
First Line	:	615 RIDGEVIEW DR
Second Line	:
City	:	MESQUITE
State	:	NV
Zip	:	89027-7600
Country	:	US
Telephone Number	:	928-641-8314
Fax Number	:

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

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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