MEDICARE: MISS DANIELLE CAYLA 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	146N00000X	Basic Emergency Medical Technician

General Provider Information

NPI Number	:	1689564049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS DANIELLE CAYLA WILLIAMS

Provider Business Mailing Address
First Line	:	8601 NATURAL BRIDGE RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63121-6312
Country	:	US
Telephone Number	:	314-737-2994
Fax Number	:

Provider Business Practice Location Address
First Line	:	8601 NATURAL BRIDGE RD
Second Line	:	HEARTMEDTRANSIT@GMAIL.COM
City	:	ST. LOUIS
State	:	MO
Zip	:	63121-6312
Country	:	US
Telephone Number	:	314-737-2994
Fax Number	:

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

Provider Enumeration Date	:	07/08/2025
Last Update Date	:	07/08/2025

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