Provider Demographics
NPI:1386496693
Name:WILLIAMS, MARJORIE (RNBC)
Entity type:Individual
Prefix:
First Name:MARJORIE
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RNBC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 184
Mailing Address - Street 2:
Mailing Address - City:GILSUM
Mailing Address - State:NH
Mailing Address - Zip Code:03448-0184
Mailing Address - Country:US
Mailing Address - Phone:603-203-8714
Mailing Address - Fax:
Practice Address - Street 1:143 JAFFREY RD
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03455-2517
Practice Address - Country:US
Practice Address - Phone:603-831-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH040764-21163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)