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NPI Code Detail

MEDICARE: PATRICE CHRISTINA WILLIAMS LPN

MEDICARE:   PATRICE CHRISTINA WILLIAMS  LPN
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
1164X00000XLicensed Vocational Nurse1016124TX

General Provider Information

NPI Number : 1548850464
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICE CHRISTINA WILLIAMS LPN
Provider Business Mailing Address
First Line : 1314 LAKE ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76102-4581
Country : US
Telephone Number : 817-810-0660
Fax Number :
Provider Business Practice Location Address
First Line : 2311 BUNNY RUN LN APT 923
Second Line :
City : ARLINGTON
State : TX
Zip : 76006-5419
Country : US
Telephone Number : 630-202-2193
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2021
Last Update Date : 01/25/2021

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Directions to “ PATRICE CHRISTINA WILLIAMS LPN” Practice Location

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