Provider Demographics
NPI:1760266704
Name:WILLIAMS, SHEILA ALICIA
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:ALICIA
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 1:1931 GRAND WAY BLVD APT 221
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-2077
Mailing Address - Country:US
Mailing Address - Phone:301-636-0675
Mailing Address - Fax:
Practice Address - Street 1:1931 GRAND WAY BLVD APT 221
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-2077
Practice Address - Country:US
Practice Address - Phone:240-636-0675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide