Provider Demographics
NPI:1982027470
Name:WILLIAMS, CONSTANCE (RN)
Entity Type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:
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 1:899 NORTH CAPITOL STREET NE ROOM 4000
Mailing Address - Street 2:DISTRICT OF COLUMBIA DEPT. OF HEALTH, STD./TB DIV
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002
Mailing Address - Country:US
Mailing Address - Phone:202-671-4843
Mailing Address - Fax:
Practice Address - Street 1:1900 MASSACHUSETTS AVE SE, BLDG. 15
Practice Address - Street 2:TB CLINIC
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003
Practice Address - Country:US
Practice Address - Phone:202-698-4044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-04
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN64021163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse