Provider Demographics
NPI:1821706169
Name:WILLIAMS, MEKIYA ZURU (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:MEKIYA
Middle Name:ZURU
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14200 STAHELIN AVE
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48223-2986
Mailing Address - Country:US
Mailing Address - Phone:248-307-6020
Mailing Address - Fax:
Practice Address - Street 1:14200 STAHELIN AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48223-2986
Practice Address - Country:US
Practice Address - Phone:248-307-6020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4704340547OtherREGISTERED NURSE