Provider Demographics
NPI:1609120047
Name:WILLIAMS-ALDERMAN, CRYSTAL (RMA)
Entity Type:Individual
Prefix:MISS
First Name:CRYSTAL
Middle Name:
Last Name:WILLIAMS-ALDERMAN
Suffix:
Gender:F
Credentials:RMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7429 PEBBLESTONE DR APT G
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212-0045
Mailing Address - Country:US
Mailing Address - Phone:704-254-2135
Mailing Address - Fax:
Practice Address - Street 1:7429 PEBBLESTONE DR APT G
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-0045
Practice Address - Country:US
Practice Address - Phone:704-254-2135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-07
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2607694374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide