Provider Demographics
NPI:1275997710
Name:WILLIAMS, SHI'LONDA D
Entity Type:Individual
Prefix:
First Name:SHI'LONDA
Middle Name:D
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4319 N 76TH ST STE 9
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53222-2056
Mailing Address - Country:US
Mailing Address - Phone:414-269-9800
Mailing Address - Fax:414-269-9894
Practice Address - Street 1:4319 N 76TH ST STE 9
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53222-2056
Practice Address - Country:US
Practice Address - Phone:414-269-9800
Practice Address - Fax:414-269-9894
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-11
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health