Provider Demographics
NPI:1801056056
Name:WILLIAMS, YVETTE S (RN)
Entity type:Individual
Prefix:MRS
First Name:YVETTE
Middle Name:S
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4886 STILLBREEZE CT
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-5131
Mailing Address - Country:US
Mailing Address - Phone:614-418-9341
Mailing Address - Fax:614-418-9341
Practice Address - Street 1:4886 STILLBREEZE CT
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-5131
Practice Address - Country:US
Practice Address - Phone:614-418-9341
Practice Address - Fax:614-418-9341
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH320247163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse