Provider Demographics
NPI:1487463170
Name:WILLIAMS, LOUISE ELLEN
Entity type:Individual
Prefix:
First Name:LOUISE
Middle Name:ELLEN
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 1:749 MIDWAY DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-7232
Mailing Address - Country:US
Mailing Address - Phone:740-258-7427
Mailing Address - Fax:
Practice Address - Street 1:749 MIDWAY DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-7232
Practice Address - Country:US
Practice Address - Phone:740-258-7427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker