Provider Demographics
NPI:1043062748
Name:THOMPSON-WILLIAMS, WENIFRED EMILY (RN)
Entity Type:Individual
Prefix:MRS
First Name:WENIFRED
Middle Name:EMILY
Last Name:THOMPSON-WILLIAMS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2945 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19133-2802
Mailing Address - Country:US
Mailing Address - Phone:215-288-3653
Mailing Address - Fax:
Practice Address - Street 1:2809 RIVER RD
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08105-4426
Practice Address - Country:US
Practice Address - Phone:267-586-7458
Practice Address - Fax:215-790-6257
Is Sole Proprietor?:No
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY548725163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse