MEDICARE: ROSALIND RENAE WILLIAMS NP

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	363LF0000X	Family Nurse Practitioner	4704291711	MI

General Provider Information

NPI Number	:	1316693260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSALIND RENAE WILLIAMS NP

Provider Business Mailing Address
First Line	:	1701 SOUTH BLVD E STE 320
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-6117
Country	:	US
Telephone Number	:	248-293-3345
Fax Number	:	248-293-3368

Provider Business Practice Location Address
First Line	:	1701 SOUTH BLVD E STE 320
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-6117
Country	:	US
Telephone Number	:	248-293-3345
Fax Number	:	248-293-3368

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

Provider Enumeration Date	:	03/01/2022
Last Update Date	:	07/18/2025

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