Provider Demographics
NPI:1598003378
Name:WILLIAMS, YULANDA LENE (LPN)
Entity Type:Individual
Prefix:MS
First Name:YULANDA
Middle Name:LENE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 S UNION TER APT 6
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-6600
Mailing Address - Country:US
Mailing Address - Phone:716-507-7836
Mailing Address - Fax:
Practice Address - Street 1:65 S UNION TER APT 6
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-6600
Practice Address - Country:US
Practice Address - Phone:716-507-7836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-29
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY259697164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse