Basic Information
| Provider Information | |||||||||
| NPI: | 1437545217 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WILLIAMS | ||||||||
| FirstName: | CAMILE | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 925 G STREET | ||||||||
| Address2: | |||||||||
| City: | REEDLEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 93654 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5575589715 | ||||||||
| FaxNumber: | 6612376889 | ||||||||
| Practice Location | |||||||||
| Address1: | 925 G STREET | ||||||||
| Address2: | |||||||||
| City: | REEDLEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 93654 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5575589715 | ||||||||
| FaxNumber: | 6612376889 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/08/2015 | ||||||||
| LastUpdateDate: | 11/29/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 2014019800 | MO | N | Nursing Service Providers | Registered Nurse | 163W00000X | 95052437 | CA | Y | Nursing Service Providers | Registered Nurse |
No ID Information.