Provider Demographics
NPI:1437313145
Name:MACWILLIAMS, JUDITH (PUBLIC HEALTH NURSE)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:
Last Name:MACWILLIAMS
Suffix:
Gender:F
Credentials:PUBLIC HEALTH NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 HUNTWOOD CT
Mailing Address - Street 2:
Mailing Address - City:GETZVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14068-1295
Mailing Address - Country:US
Mailing Address - Phone:716-689-4453
Mailing Address - Fax:
Practice Address - Street 1:95 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14202-3925
Practice Address - Country:US
Practice Address - Phone:716-961-6867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-11
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY299118-1163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health