Provider Demographics
NPI:1851714364
Name:WILLIAMS, SAPRANE
Entity Type:Individual
Prefix:
First Name:SAPRANE
Middle Name:
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 1:1209 BENNING RD
Mailing Address - Street 2:APT# 2
Mailing Address - City:CAPITOL HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20743
Mailing Address - Country:US
Mailing Address - Phone:240-432-6024
Mailing Address - Fax:202-399-8637
Practice Address - Street 1:1209 BENNING RD
Practice Address - Street 2:APT# 2
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-5114
Practice Address - Country:US
Practice Address - Phone:240-432-6024
Practice Address - Fax:202-399-8637
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-04
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC2552518374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide