Williams, Nicole Renee

Williams, Nicole Renee is an individual health care provider with primary practice located at 2924 Brook Rd Children'S Hospital Credentialing Dept, Richmond VA 23220-1215. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Williams, Nicole Renee can be contacted via phone (804) 321-7474.

Contact Information

Primary practice address
2924 Brook Rd Children'S Hospital Credentialing Dept Richmond VA 23220-1215
Phone: (804) 321-7474
Fax: (804) 321-2728
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 0119003362 Virginia

Profile Details

NPI number 1700914421
LBN Legal business name Williams, Nicole Renee
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Oct 2nd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700914421 NPPES
Virginia MEDICAID 008940771

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