Provider Demographics
NPI:1699316356
Name:WILLIAMS, ARIEL LYNNE (DEM)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:LYNNE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DEM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2031 HUSSIUM HILLS ST UNIT 208
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89108-6449
Mailing Address - Country:US
Mailing Address - Phone:702-205-9170
Mailing Address - Fax:
Practice Address - Street 1:6290 S PECOS RD STE 400
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-3225
Practice Address - Country:US
Practice Address - Phone:702-478-5080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-03
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay