Provider Demographics
NPI:1114724663
Name:WILLIAMS, NADIA LYNN
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:LYNN
Last Name:WILLIAMS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8900 CALVERT ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-1315
Mailing Address - Country:US
Mailing Address - Phone:215-596-9658
Mailing Address - Fax:
Practice Address - Street 1:8900 CALVERT ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-1315
Practice Address - Country:US
Practice Address - Phone:215-596-9658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide