Individual
MRS. MELODY A WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
32121 WOODWARD AVE, STE 200, ROYAL OAK, MI 48073-0999
(248) 690-9946
(248) 268-3661
Mailing address
32121 WOODWARD AVE, SUITE 200, ROYAL OAK, MI 48073-6237
(248) 690-9946
(248) 690-9956
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP225255
AZ
363LF0000X
Family Nurse Practitioner
4704180804
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4517916
—
MI
01
—
5008601190
BCBSM
MI
Enumeration date
11/01/2006
Last updated
10/20/2020
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