Provider Demographics
NPI:1437846516
Name:WILLIAMS, VALERIE
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:
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 1:5919 N 68TH ST.
Mailing Address - Street 2:VNUBIAN2014@GMAIL.COM
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53218-1802
Mailing Address - Country:US
Mailing Address - Phone:414-635-0024
Mailing Address - Fax:
Practice Address - Street 1:5919 N 68TH ST.
Practice Address - Street 2:VNUBIAN2014@GMAIL.COM
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53218-1802
Practice Address - Country:US
Practice Address - Phone:414-635-0024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-19
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI0020611261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care