Provider Demographics
NPI:1588263057
Name:CLAFLIN WILLIAMS, DEBORAH PEARL
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:PEARL
Last Name:CLAFLIN 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 1:100 BULL RUN
Mailing Address - Street 2:
Mailing Address - City:HOLDEN
Mailing Address - State:MA
Mailing Address - Zip Code:01520-2641
Mailing Address - Country:US
Mailing Address - Phone:774-239-4805
Mailing Address - Fax:
Practice Address - Street 1:100 BULL RUN
Practice Address - Street 2:
Practice Address - City:HOLDEN
Practice Address - State:MA
Practice Address - Zip Code:01520-2641
Practice Address - Country:US
Practice Address - Phone:774-239-4805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-25
Last Update Date:2020-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA282468163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency