MICHELLE WILLIAMS RN NPI 1013363118

NPI Information

NPI: 1013363118
Provider Name: MICHELLE WILLIAMS, RN
Classification: Registered Nurse - 163WP0807X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Child & Adolescent

Address:
4309 3RD AVE
SAN DIEGO, CA
ZIP 92103
Phone: (619) 876-4502
Get Directions

Michelle Williams, RN is a psychiatric/mental health and child and adolescent registered nurse in San Diego, CA. Michelle Williams, RN NPI is 1013363118. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4309 3RD AVE
SAN DIEGO, CA
ZIP 92103-407
Phone: (619) 876-4502

The enumeration date for this NPI number is 5/6/2016 and was last updated on 5/5/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		823428	CALIFORNIA	No
2	163WP0807X	Registered Nurse	Psychiatric/Mental Health, Child & Adolescent	823428	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1013363118	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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