Individual
TIA SIMONE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8500 BROADWAY STE H, MERRILLVILLE, IN 46410-7006
(219) 769-7710
(219) 769-7758
Mailing address
8500 BROADWAY STE H, MERRILLVILLE, IN 46410-7006
(219) 769-7710
(219) 769-7758
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27078304A
IN
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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