MEDICARE: ARIANA 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	374U00000X	Home Health Aide	000000	NV

General Provider Information

NPI Number	:	1609295328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIANA WILLIAMS

Provider Business Mailing Address
First Line	:	3242 JERICHO ST UNIT C
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-7349
Country	:	US
Telephone Number	:	805-248-4803
Fax Number	:

Provider Business Practice Location Address
First Line	:	3242 JERICHO ST UNIT C
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-7349
Country	:	US
Telephone Number	:	805-248-4803
Fax Number	:

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

Provider Enumeration Date	:	04/09/2014
Last Update Date	:	04/09/2014

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Directions to “ ARIANA WILLIAMS ” Practice Location

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