Provider Demographics
NPI:1326771056
Name:WILLIAMS, DONNA FRANCINE
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:FRANCINE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:FRANCINE
Other - Last Name:PRYOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12411 OSCEOLA AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44108-4055
Mailing Address - Country:US
Mailing Address - Phone:216-375-9898
Mailing Address - Fax:
Practice Address - Street 1:12411 OSCEOLA AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44108-4055
Practice Address - Country:US
Practice Address - Phone:216-375-9898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-09
Last Update Date:2022-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator