Individual
CHARDAY SHANICE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA, CNA II
Contact information
Practice address
610 IRON MEADOW RUN APT 102, RALEIGH, NC 27601-2446
(919) 288-4212
Mailing address
610 IRON MEADOW RUN APT 102, RALEIGH, NC 27601-2446
(919) 288-4212
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
440202
NC
376K00000X
Nurse's Aide
Primary
78355
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
951514382T
—
NC
Enumeration date
08/02/2021
Last updated
08/02/2021
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