Provider Demographics
NPI:1770271686
Name:CARTER-WILLIAMS, YOLAISHA
Entity type:Individual
Prefix:
First Name:YOLAISHA
Middle Name:
Last Name:CARTER-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 1:4223 N 70TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53216-1165
Mailing Address - Country:US
Mailing Address - Phone:414-722-2500
Mailing Address - Fax:
Practice Address - Street 1:4223 N 70TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216-1165
Practice Address - Country:US
Practice Address - Phone:414-722-2500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-27
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider