Provider Demographics
NPI:1437545217
Name:WILLIAMS, CAMILE (NP)
Entity Type:Individual
Prefix:
First Name:CAMILE
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 G STREET
Mailing Address - Street 2:
Mailing Address - City:REEDLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93654
Mailing Address - Country:US
Mailing Address - Phone:557-558-9715
Mailing Address - Fax:661-237-6889
Practice Address - Street 1:925 G STREET
Practice Address - Street 2:
Practice Address - City:REEDLEY
Practice Address - State:CA
Practice Address - Zip Code:93654
Practice Address - Country:US
Practice Address - Phone:557-558-9715
Practice Address - Fax:661-237-6889
Is Sole Proprietor?:No
Enumeration Date:2015-04-08
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014019800163W00000X
CA95052437163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse