Williams, Melody A

Williams, Melody A is an individual health care provider with primary practice located at 32121 Woodward Ave Ste 200, Royal Oak MI 48073-0999. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Williams, Melody A can be contacted via phone (248) 690-9946.

Contact Information

Primary practice address
32121 Woodward Ave Ste 200 Royal Oak MI 48073-0999
Phone: (248) 690-9946
Fax: (248) 268-3661
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704180804 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP225255 Arizona

Profile Details

NPI number 1386721397
LBN Legal business name Williams, Melody A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Oct 20th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386721397 NPPES
Michigan Other 5008601190 BCBSM
Michigan MEDICAID 4517916 BCBSM

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