Provider Demographics
NPI:1649905175
Name:WILLIAMS, SUMMER LEIGH (LVN)
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:LEIGH
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1147 HARTNELL AVE
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-2113
Mailing Address - Country:US
Mailing Address - Phone:530-222-7213
Mailing Address - Fax:
Practice Address - Street 1:1901 BARNEY RD
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:CA
Practice Address - Zip Code:96007-4301
Practice Address - Country:US
Practice Address - Phone:530-912-9523
Practice Address - Fax:530-912-9523
Is Sole Proprietor?:No
Enumeration Date:2022-07-19
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA711165164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse