National Provider Identifier

Retha Diann Williams

Retha Diann Williams is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 752-2822.

NPI 1689853988Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1689853988
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 02, 2007
Last Updated
November 02, 2007

Practice Location

  • 283 Marlborough RD
  • Rochester, NY 14619-1449

Phone: (585) 752-2822

Mailing Address

  • PO Box 92535
  • Rochester, NY 14692-0535

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1689853988
Entity Type
Individual
Last Name
Williams
First Name
Retha
Middle Name
Diann
Name Prefix
MS.
Mailing Street Address
PO Box 92535
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14692-0535
Mailing Country
US
Mailing Phone
(585) 752-2822
Practice Street Address
283 Marlborough RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14619-1449
Practice Country
US
Practice Phone
(585) 752-2822
Enumeration Date
November 02, 2007
Last Updated
November 02, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
02141353 (NY)