Individual
WANDA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
24165 DETROIT RD, WESTLAKE, OH 44145-1516
(440) 250-3560
(440) 617-1815
Mailing address
24165 DETROIT RD, WESTLAKE, OH 44145-1516
(440) 250-3560
(440) 617-1815
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-09717
OH
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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