Provider Demographics
NPI:1578331211
Name:WILLIAMS, CAREE
Entity Type:Individual
Prefix:
First Name:CAREE
Middle Name:
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 1:708 OAKLAND MANOR DR
Mailing Address - Street 2:
Mailing Address - City:FESTUS
Mailing Address - State:MO
Mailing Address - Zip Code:63028-5465
Mailing Address - Country:US
Mailing Address - Phone:314-287-1821
Mailing Address - Fax:
Practice Address - Street 1:708 OAKLAND MANOR DR
Practice Address - Street 2:
Practice Address - City:FESTUS
Practice Address - State:MO
Practice Address - Zip Code:63028-5465
Practice Address - Country:US
Practice Address - Phone:314-287-1821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide