Provider Demographics
NPI:1376878678
Name:WILLIAMS, ALEXANDRA B (RN, IBCLC, LCCE)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:B
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RN, IBCLC, LCCE
Other - Prefix:MS
Other - First Name:SASHA
Other - Middle Name:
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:113 ALAE ST
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-2504
Mailing Address - Country:US
Mailing Address - Phone:808-936-7532
Mailing Address - Fax:800-617-3504
Practice Address - Street 1:113 ALAE ST
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2504
Practice Address - Country:US
Practice Address - Phone:808-936-7532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-05
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN-77990163WL0100X
VAL-84266163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant