Individual provider · Type 1 NPI
Stacy Williams, RN
Administrator Registered Nurse · Los Angeles, CA
NPI number
1285711481
Active
Practice location
529 Maple Ave
Los Angeles, CA 90013-1511
Mailing address
3515 Crestwold Ave
Los Angeles, CA 90043-1846
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 465298 (CA) |
Administrator Registered Nurse: Definition to come...
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About NPI 1285711481
Stacy Williams, RN's National Provider Identifier is 1285711481, issued on Nov 1, 2006. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.