Doctor Name: | SHANNON TERESA CARWISE-WILLIAMS |
NPI Number: | 1073841433 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | REGISTERED NURSE |
License Number: | 722727 |
Business Practice Address: | Bldg 36000 Darnall Loop Carl R Darnall Army Medical Center Fort Hood, TX - 76544 |
Business Phone Number: | 2545398643 |
Business Fax Number: | |
Mailing Address: | Bldg 36000 Darnall Loop, Carl R Darnall Army Medical Center FORT HOOD |
State: | TX |
Postal Code: | 76544 |
Phone Number: | 2545398643 |
Fax Number: | |
NPI Enumeration Date: | 11/24/2009 |
NPI Last Update Date: | 11/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 722727 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |