Individual
DONNA MICHELLE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 BATES AVE, CONCORD, CA 94520-1208
(925) 390-6677
Mailing address
2500 BATES AVE, CONCORD, CA 94520-1208
(925) 390-6677
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
404663
CA
363LF0000X
Family Nurse Practitioner
9831
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
404663
BOARD OF REGISTERED NURSING
CA
01
—
9831
BOARD OF REGISTERED NURSING
CA
Enumeration date
04/02/2018
Last updated
04/02/2018
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