Provider Demographics
NPI:1619525748
Name:WILLIAMS, BARBARA D (BSW, CNA, CMMH-P)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:D
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:BSW, CNA, CMMH-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 34TH ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32805-6601
Mailing Address - Country:US
Mailing Address - Phone:407-202-9099
Mailing Address - Fax:407-264-6119
Practice Address - Street 1:3700 34TH ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32805-6601
Practice Address - Country:US
Practice Address - Phone:407-202-9099
Practice Address - Fax:407-295-6119
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-02
Last Update Date:2019-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCNA189890376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty