Provider Demographics
NPI:1861744849
Name:WILLIAMS-SLOAN, HARRIET MARIA (ANP-BC)
Entity type:Individual
Prefix:MRS
First Name:HARRIET
Middle Name:MARIA
Last Name:WILLIAMS-SLOAN
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:MRS
Other - First Name:HARRIET
Other - Middle Name:
Other - Last Name:SLOAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ANP-BC
Mailing Address - Street 1:18254 LIVERNOIS AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48221-4214
Mailing Address - Country:US
Mailing Address - Phone:313-861-4400
Mailing Address - Fax:313-861-5810
Practice Address - Street 1:18254 LIVERNOIS AVE STE 1
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48221-4214
Practice Address - Country:US
Practice Address - Phone:313-861-4400
Practice Address - Fax:313-861-5810
Is Sole Proprietor?:No
Enumeration Date:2012-10-15
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704251759363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner