Provider Demographics
NPI:1780456822
Name:WILLIAMS, ANNETTE CHERRI I
Entity type:Individual
Prefix:
First Name:ANNETTE
Middle Name:CHERRI
Last Name:WILLIAMS
Suffix:I
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:PO BOX 434
Mailing Address - Street 2:
Mailing Address - City:OREGON HOUSE
Mailing Address - State:CA
Mailing Address - Zip Code:95962-0434
Mailing Address - Country:US
Mailing Address - Phone:916-329-2868
Mailing Address - Fax:
Practice Address - Street 1:9239 WINDING WAY
Practice Address - Street 2:9239 WINDING WAY
Practice Address - City:OREGONHOUSE
Practice Address - State:CA
Practice Address - Zip Code:95962
Practice Address - Country:US
Practice Address - Phone:916-329-2868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide