MICHELLE WILLIAMS RN NPI 1013363118

NPI Information

  • NPI: 1013363118
  • Provider Name: MICHELLE WILLIAMS, RN
  • Classification: Registered Nurse - 163WP0807X
  • Specialization: Psychiatric/Mental Health, Child & Adolescent
  • Entity Type: Individual
  • Address: 4309 3RD AVE
    SAN DIEGO, CA
    ZIP 92103
  • Phone: (619) 876-4502

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NPI Details

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
1163W00000XRegistered Nurse823428CALIFORNIANo
2163WP0807XRegistered NursePsychiatric/Mental Health, Child & Adolescent823428CALIFORNIAYes

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
11013363118MEDICAIDCALIFORNIA

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: 3/30/2025

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