Provider Demographics
NPI:1619868007
Name:WILLIAMS, CAMELLIA YVETTE
Entity type:Individual
Prefix:
First Name:CAMELLIA
Middle Name:YVETTE
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 1:5783 REMINGTON RDG APT 102
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-3225
Mailing Address - Country:US
Mailing Address - Phone:817-846-6430
Mailing Address - Fax:
Practice Address - Street 1:5783 REMINGTON RDG APT 102
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-3225
Practice Address - Country:US
Practice Address - Phone:817-846-6430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide