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NPI Code Detail

MEDICARE: MRS. NICOLE DENISE WILLIAMS LPN

MEDICARE:  MRS. NICOLE DENISE 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
1101Y00000XCounselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841625589
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NICOLE DENISE WILLIAMS LPN
Provider Business Mailing Address
First Line : 5713 REPUBLIC DR
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73135-4452
Country : US
Telephone Number : 405-602-0555
Fax Number : 866-422-5922
Provider Business Practice Location Address
First Line : 7901 NE 10TH ST STE A209
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73110-3689
Country : US
Telephone Number : 405-962-9191
Fax Number : 866-422-5922
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2013
Last Update Date : 09/12/2013

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