Provider Demographics
NPI:1912126111
Name:WILLIAMS, PATRICIA ANN (RD)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ANN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1633 CHURCH ST
Mailing Address - Street 2:SUITE 160
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2990
Mailing Address - Country:US
Mailing Address - Phone:615-329-1495
Mailing Address - Fax:615-329-4450
Practice Address - Street 1:1633 CHURCH ST
Practice Address - Street 2:SUITE 160
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2990
Practice Address - Country:US
Practice Address - Phone:615-329-1495
Practice Address - Fax:615-329-4450
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLDN0000001037133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal