Provider Demographics
NPI:1649439639
Name:WILLIAMSON, LINDA M (BSN RN RCS)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:M
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:BSN RN RCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2363 N 113TH ST
Mailing Address - Street 2:
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53226-1213
Mailing Address - Country:US
Mailing Address - Phone:414-839-2363
Mailing Address - Fax:414-988-5442
Practice Address - Street 1:2363 N 113TH ST
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-1213
Practice Address - Country:US
Practice Address - Phone:414-839-2363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-04
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI193601-30163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health