Provider Demographics
NPI:1982365037
Name:WILLIAMS, DANIEL PAUL (BSN, RN, CNOR, RNFA)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:PAUL
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:BSN, RN, CNOR, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 NICOLET CT
Mailing Address - Street 2:
Mailing Address - City:LITTLE RIVER
Mailing Address - State:SC
Mailing Address - Zip Code:29566-8545
Mailing Address - Country:US
Mailing Address - Phone:304-237-3027
Mailing Address - Fax:
Practice Address - Street 1:208 NICOLET CT
Practice Address - Street 2:
Practice Address - City:LITTLE RIVER
Practice Address - State:SC
Practice Address - Zip Code:29566-8545
Practice Address - Country:US
Practice Address - Phone:304-237-3027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-31
Last Update Date:2021-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC108672163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant