Provider Demographics
NPI:1588083182
Name:POWELL-WILLIAMS, MARSHA (RN)
Entity type:Individual
Prefix:MRS
First Name:MARSHA
Middle Name:
Last Name:POWELL-WILLIAMS
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 1:21 ESSEX RD
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-2022
Mailing Address - Country:US
Mailing Address - Phone:347-515-3376
Mailing Address - Fax:
Practice Address - Street 1:21 ESSEX RD
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-2022
Practice Address - Country:US
Practice Address - Phone:347-515-3376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-10
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY683328163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse