Provider Demographics
NPI:1194537712
Name:WILLIAMS, MALIYA AVYANA (STNA, MST)
Entity type:Individual
Prefix:
First Name:MALIYA
Middle Name:AVYANA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:STNA, MST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 N 8TH ST APT C
Mailing Address - Street 2:
Mailing Address - City:COSHOCTON
Mailing Address - State:OH
Mailing Address - Zip Code:43812-1288
Mailing Address - Country:US
Mailing Address - Phone:740-502-8838
Mailing Address - Fax:
Practice Address - Street 1:512 N 8TH ST APT C
Practice Address - Street 2:
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812-1288
Practice Address - Country:US
Practice Address - Phone:740-502-8838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-21
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH602876760824374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide