Provider Demographics
NPI:1720785959
Name:WILLIAMS, NAOMI MICHELLE
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:MICHELLE
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 1:23511 CHAGRIN BLVD APT 216
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5538
Mailing Address - Country:US
Mailing Address - Phone:216-440-0928
Mailing Address - Fax:
Practice Address - Street 1:23511 CHAGRIN BLVD APT 216
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5538
Practice Address - Country:US
Practice Address - Phone:216-440-0928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion