Provider Demographics
NPI:1629632047
Name:WILLIAMS, CHERNOR SHERIFF (CNA)
Entity Type:Individual
Prefix:
First Name:CHERNOR
Middle Name:SHERIFF
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4161 SOUTHERN AVE APT 202
Mailing Address - Street 2:
Mailing Address - City:CAPITOL HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20743-6872
Mailing Address - Country:US
Mailing Address - Phone:240-636-3435
Mailing Address - Fax:
Practice Address - Street 1:2503 14TH ST NE APT 1
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-1953
Practice Address - Country:US
Practice Address - Phone:202-832-1093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-01
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant