Provider Demographics
NPI:1730338641
Name:WILLIAMS, SHONA M (CASE MANAGER)
Entity type:Individual
Prefix:MS
First Name:SHONA
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CASE MANAGER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 DEMOSS ST.
Mailing Address - Street 2:
Mailing Address - City:LORDSBURG
Mailing Address - State:NM
Mailing Address - Zip Code:88804-2618
Mailing Address - Country:US
Mailing Address - Phone:575-388-1511
Mailing Address - Fax:575-313-8234
Practice Address - Street 1:114 W 11TH ST
Practice Address - Street 2:
Practice Address - City:SILVER CITY
Practice Address - State:NM
Practice Address - Zip Code:88061-5124
Practice Address - Country:US
Practice Address - Phone:575-388-1511
Practice Address - Fax:575-313-8234
Is Sole Proprietor?:No
Enumeration Date:2008-09-16
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No174400000XOther Service ProvidersSpecialist