MEDICARE: MS. DANA E WILLIAMS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	390200000X	Student in an Organized Health Care Education/Training Program
2	376K00000X	Nurse's Aide
3	374T00000X	Religious Nonmedical Nursing Personnel

General Provider Information

NPI Number	:	1497370571
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DANA E WILLIAMS

Provider Business Mailing Address
First Line	:	2585 E LIVINGSTON AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43209-2944
Country	:	US
Telephone Number	:	614-571-4813
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	:	641-435-7203
Fax Number	:

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

Provider Enumeration Date	:	06/14/2020
Last Update Date	:	06/14/2020

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