Provider Demographics
NPI:1841610433
Name:WILLIAMS, SHERDINA (RN, CSN, MED)
Entity Type:Individual
Prefix:MS
First Name:SHERDINA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RN, CSN, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:381 ROYAL OAK BLVD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143-1709
Mailing Address - Country:US
Mailing Address - Phone:440-622-6026
Mailing Address - Fax:
Practice Address - Street 1:4605 WOODBINE AVENURE
Practice Address - Street 2:GARRETT MORGAN SCHOOL
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113
Practice Address - Country:US
Practice Address - Phone:216-849-6818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-22
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN196957163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse