Provider Demographics
NPI:1902779903
Name:WILLIAMS, RUTH EMMA
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:EMMA
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 1:30118 278TH ST
Mailing Address - Street 2:
Mailing Address - City:WINNER
Mailing Address - State:SD
Mailing Address - Zip Code:57580-6523
Mailing Address - Country:US
Mailing Address - Phone:605-840-9799
Mailing Address - Fax:605-879-2216
Practice Address - Street 1:30118 278TH ST
Practice Address - Street 2:
Practice Address - City:WINNER
Practice Address - State:SD
Practice Address - Zip Code:57580-6523
Practice Address - Country:US
Practice Address - Phone:605-840-9799
Practice Address - Fax:605-879-2216
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty