Provider Demographics
NPI:1225685464
Name:WILLIAMS, CONTENNA (CPA)
Entity Type:Individual
Prefix:
First Name:CONTENNA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15248 BARNABAS TRL
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-5570
Mailing Address - Country:US
Mailing Address - Phone:205-475-0876
Mailing Address - Fax:
Practice Address - Street 1:15248 BARNABAS TRL
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-5570
Practice Address - Country:US
Practice Address - Phone:205-475-0876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-22
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty