Individual
MRS. NICOLE DENISE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7901 NE 10TH ST STE A209, OKLAHOMA CITY, OK 73110-3689
(405) 962-9191
(866) 422-5922
Mailing address
5713 REPUBLIC DR, OKLAHOMA CITY, OK 73135-4452
(405) 602-0555
(866) 422-5922
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200497040A
—
OK
Enumeration date
09/12/2013
Last updated
09/12/2013
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