Provider Demographics
NPI:1699254425
Name:WILLIAMS-DYER, NADINE JOAN (RN)
Entity type:Individual
Prefix:MRS
First Name:NADINE
Middle Name:JOAN
Last Name:WILLIAMS-DYER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:20518 FLORA FAUNA DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-1568
Mailing Address - Country:US
Mailing Address - Phone:832-815-1673
Mailing Address - Fax:
Practice Address - Street 1:110 CYPRESS STATION DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-1630
Practice Address - Country:US
Practice Address - Phone:832-253-1188
Practice Address - Fax:832-253-1181
Is Sole Proprietor?:No
Enumeration Date:2018-08-13
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX886895163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse