MEDICARE: MRS. SHARNA R WILLIAMS CNM/ 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	176B00000X	Midwife	1565	CA

General Provider Information

NPI Number	:	1447252176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHARNA R WILLIAMS CNM/ NP

Provider Business Mailing Address
First Line	:	32519 BERGAMO CT
Second Line	:
City	:	TEMECULA
State	:	CA
Zip	:	92592-3885
Country	:	US
Telephone Number	:	951-303-3687
Fax Number	:

Provider Business Practice Location Address
First Line	:	325 N BRANDON RD
Second Line	:	SUITE D
City	:	FALLBROOK
State	:	CA
Zip	:	92028-2253
Country	:	US
Telephone Number	:	760-728-4561
Fax Number	:	760-728-6094

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

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	09/13/2007

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