Provider Demographics
NPI:1336977438
Name:MCWILLIAMS, MAGGIE (RN)
Entity type:Individual
Prefix:MS
First Name:MAGGIE
Middle Name:
Last Name:MCWILLIAMS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1206 AMIENS DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-4605
Mailing Address - Country:US
Mailing Address - Phone:225-281-3076
Mailing Address - Fax:225-310-2188
Practice Address - Street 1:1206 AMIENS DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-4605
Practice Address - Country:US
Practice Address - Phone:225-281-3076
Practice Address - Fax:225-310-2188
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN068817163WP0808X, 163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health