Individual
FAUN K. MCWILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1280 SMITH RD, ASHLAND, OH 44805-4337
(419) 282-0147
Mailing address
1280 SMITH RD, ASHLAND, OH 44805-4337
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN404039
OH
164W00000X
Licensed Practical Nurse
PN109367-M-IV
OH
Other
Enumeration date
06/03/2011
Last updated
03/25/2016
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