Renee Marie Williams, RN
Individual provider Active NPI Registered Nurse · Suamico, WI
NPI 1124410501 · NPPES record last updated Feb 23, 2015
Key facts
- NPI
- 1124410501
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 221486 (WI)
- Practice address
- 12831 Velp Ave
Suamico, WI 54313-8033 - Phone
- (920) 327-2414
- NPI assigned
- Feb 23, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 221486 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 221486 | WI | Yes |
Addresses
Primary practice location
12831 Velp Ave
Suamico, WI 54313-8033
Mailing address
12831 Velp Ave
Suamico, WI 54313-8033
Phone (920) 327-2414
Other providers in Suamico, WI
- Kaylee Schartner
- Alexander Shutter
- TRB Cleaning LLC D.B.a Bio-One Green Bay
- Rebecca L Van Pay
- Jakob Voss
- Madison Andrea Winchell
- Yi Xie
- Tricia Lee Zimonick
- Brightyn Zuelke
All providers in Suamico, WI · Registered Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.