Provider Demographics
NPI:1003682634
Name:WILLIAMS-MCIVER, FRANCES ANEDRA (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:ANEDRA
Last Name:WILLIAMS-MCIVER
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:ANEDRA
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:5372 LAKEROCK DR SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-8914
Mailing Address - Country:US
Mailing Address - Phone:309-824-9492
Mailing Address - Fax:404-745-0818
Practice Address - Street 1:5372 LAKEROCK DR SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-8914
Practice Address - Country:US
Practice Address - Phone:309-824-9492
Practice Address - Fax:404-745-0818
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN298649163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse