Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | APRN.CNP.023954 | OH |
Y | 363LP0200X | Nurse Practitioner - Pediatrics | APRN.CNP.023954 | OH |
NPI | 1285103952 |
---|---|
Provider Name | Ms. Heather Julienne Williams |
First Address | Cleveland, OH 44195-5037 |
Second Address | Cleveland, OH 44195-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2018 |
Last Update Date | 23/12/2021 |