Williams, Michelle

Williams, Michelle is an individual health care provider with primary practice located at 4309 3Rd Ave , San Diego CA 92103-1407. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent. Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent is her primary health care specialty. Williams, Michelle can be contacted via phone (619) 876-4502.

Contact Information

Primary practice address
4309 3Rd Ave San Diego CA 92103-1407
Phone: (619) 876-4502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 823428 California
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 823428 California

Profile Details

NPI number 1013363118
LBN Legal business name Williams, Michelle
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2016
Last updated May 5th, 2018 - about 6 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 1013363118 NPPES
California MEDICAID 1013363118

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