MEDICARE: CLYDE WILLIAMS

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	133NN1002X	Nutrition Education Nutritionist

General Provider Information

NPI Number	:	1417808551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLYDE WILLIAMS

Provider Business Mailing Address
First Line	:	304 N LONG ST
Second Line	:
City	:	FARMINGTON
State	:	MO
Zip	:	63640-3138
Country	:	US
Telephone Number	:	573-683-2191
Fax Number	:

Provider Business Practice Location Address
First Line	:	304 N LONG ST
Second Line	:
City	:	FARMINGTON
State	:	MO
Zip	:	63640-3138
Country	:	US
Telephone Number	:	573-683-2191
Fax Number	:

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

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

Similar Medicare Providers

1669324141 — DEEP TISSUE REHABILITATION THERAPY
Practice Location Address:

32780 GRAND RIVER AVE STE 212A
FARMINGTON, MI
48336-3138

Practice Phone: 248-275-4001
Practice Fax:

1922543339 — ELIZABETH SHAW
Practice Location Address:

32780 GRAND RIVER AVE # 212A
FARMINGTON, MI
48336-3138

Practice Phone: 313-204-8955
Practice Fax:

1023842309 — BODYLOGIC MASSAGE THERAPY LLC
Practice Location Address:

32780 GRAND RIVER AVE # 212A
FARMINGTON, MI
48336-3138

Practice Phone: 313-204-8955
Practice Fax:

1093679078 — BRESLIN ELIZABETH MEYER DNP-FNP-BC
Practice Location Address:

1106 HAZEL LN
FARMINGTON, MO
63640-1999

Practice Phone: 573-756-6751
Practice Fax: 573-756-6751

1538010806 — DANIELLE BARTON
Practice Location Address:

1085 MAPLE ST
FARMINGTON, MO
63640-1955

Practice Phone: 573-756-5353
Practice Fax:

1619238227 — AMERICARE AT MAPLEBROOK ASSISTED LIVING, LLC
Practice Location Address:

520 MAPLE VALLEY DRIVE
FARMINGTON, MO
63640

Practice Phone: 573-471-1113
Practice Fax:

Directions to “ CLYDE WILLIAMS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.