Provider Demographics
NPI:1417553652
Name:WILLIAMS, GHITANA L
Entity Type:Individual
Prefix:
First Name:GHITANA
Middle Name:L
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 1:10857 SHARONDALE RD APT F101
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45241-2861
Mailing Address - Country:US
Mailing Address - Phone:513-252-9492
Mailing Address - Fax:
Practice Address - Street 1:10857 SHARONDALE RD APT F101
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45241-2861
Practice Address - Country:US
Practice Address - Phone:513-252-9492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker