Provider Demographics
NPI:1013058239
Name:WILLIAMS, SUZANNE M (RN)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:274 NORTH RD
Mailing Address - Street 2:
Mailing Address - City:HOPKINTON
Mailing Address - State:RI
Mailing Address - Zip Code:02833-1123
Mailing Address - Country:US
Mailing Address - Phone:401-377-8062
Mailing Address - Fax:
Practice Address - Street 1:85 SANDY BOTTOM RD
Practice Address - Street 2:
Practice Address - City:COVENTRY
Practice Address - State:RI
Practice Address - Zip Code:02816-5863
Practice Address - Country:US
Practice Address - Phone:401-821-0600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRI 40000163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy