Provider Demographics
NPI:1649068966
Name:WILLIAMS, ERIN M
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1129 TONEYS FRK
Mailing Address - Street 2:
Mailing Address - City:CLEAR CREEK
Mailing Address - State:WV
Mailing Address - Zip Code:25044-9625
Mailing Address - Country:US
Mailing Address - Phone:304-712-5865
Mailing Address - Fax:
Practice Address - Street 1:1129 TONEYS FRK
Practice Address - Street 2:
Practice Address - City:CLEAR CREEK
Practice Address - State:WV
Practice Address - Zip Code:25044-9625
Practice Address - Country:US
Practice Address - Phone:304-712-5865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant