Provider Demographics
NPI:1235362450
Name:WILLIAMS, DANYELLE LEIGH (RN,BSN)
Entity Type:Individual
Prefix:
First Name:DANYELLE
Middle Name:LEIGH
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RN,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2022 KEDVALE AVE
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-4285
Mailing Address - Country:US
Mailing Address - Phone:919-800-1330
Mailing Address - Fax:
Practice Address - Street 1:2022 KEDVALE AVE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-4285
Practice Address - Country:US
Practice Address - Phone:919-800-1330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-04
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC223064163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health