Provider Demographics
NPI:1184952574
Name:WILLIAMS, DANIELLE M
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:M
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 1:5800 EUBANK BLVD NE
Mailing Address - Street 2:APT. 2906
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-6122
Mailing Address - Country:US
Mailing Address - Phone:505-903-1868
Mailing Address - Fax:
Practice Address - Street 1:5800 EUBANK BLVD NE
Practice Address - Street 2:APT. 2906
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-6122
Practice Address - Country:US
Practice Address - Phone:505-903-1868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide