Provider Demographics
NPI:1952957474
Name:WILLIAMS, SHAUNI VONICE (NP-C)
Entity Type:Individual
Prefix:MS
First Name:SHAUNI
Middle Name:VONICE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MS
Other - First Name:SHAUNI
Other - Middle Name:VONICE
Other - Last Name:GREENLAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3380 PIPER WAY
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-2324
Mailing Address - Country:US
Mailing Address - Phone:800-945-0371
Mailing Address - Fax:800-945-0371
Practice Address - Street 1:3380 PIPER WAY
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-2324
Practice Address - Country:US
Practice Address - Phone:530-949-7860
Practice Address - Fax:800-945-0371
Is Sole Proprietor?:No
Enumeration Date:2019-08-12
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95134349163W00000X
CA4743364S00000X
CA95012685363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist