Provider Demographics
NPI:1538038138
Name:WILLIAMS, SHARON DAVINA
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:DAVINA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14707 MATTAWOMAN DR
Mailing Address - Street 2:
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613-2037
Mailing Address - Country:US
Mailing Address - Phone:301-310-6163
Mailing Address - Fax:
Practice Address - Street 1:14707 MATTAWOMAN DR
Practice Address - Street 2:
Practice Address - City:BRANDYWINE
Practice Address - State:MD
Practice Address - Zip Code:20613-2037
Practice Address - Country:US
Practice Address - Phone:301-310-6163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-03
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDRN190012163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health