Shadonna Williams, CNM | |
14701 Lee Hwy Ste 303, Centreville, VA 20121-2135 | |
(703) 830-4388 | |
Not Available |
Full Name | Shadonna Williams |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 14701 Lee Hwy Ste 303, Centreville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1639758733 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | ACOO3631 (Maryland) | Secondary |
367A00000X | Advanced Practice Midwife | 0024182531 (Virginia) | Primary |
Entity Name | St Paul Place Specialists, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871549196 PECOS PAC ID: 7719882943 Enrollment ID: O20031202000084 |
Mailing Address | Practice Location Address |
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Shadonna Williams, CNM 2602 Glenriver Way, Woodbridge, VA 22191-5179 Ph: (202) 352-5805 | Shadonna Williams, CNM 14701 Lee Hwy Ste 303, Centreville, VA 20121-2135 Ph: (703) 830-4388 |
Alexa Alvey Flowers, CNM, MSN, C-EFM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 14701 Route 29 Ste 303, Centreville, VA 20121 Phone: 703-830-4388 | |
Mary E Harris, APRN, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 14701 Route 29 Ste 303, Centreville, VA 20121 Phone: 703-830-4388 Fax: 703-830-4188 | |
Kathleen Ann Tyson, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 14701 Lee Hwy Ste 303, Centreville, VA 20121 Phone: 703-830-4388 |