Provider Demographics
NPI:1982442869
Name:WILLIAMS, SHERRI MARIE
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:MARIE
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 1:4201 MASSACHUSETTS AVE NW APT 1033C
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-4729
Mailing Address - Country:US
Mailing Address - Phone:614-266-3314
Mailing Address - Fax:
Practice Address - Street 1:4201 MASSACHUSETTS AVE NW # A183
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4701
Practice Address - Country:US
Practice Address - Phone:269-353-3090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant