Doctor Name: | SUSAN ELAINE MCWILLIAMS |
NPI Number: | 1245521095 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, IBCLC |
License Number: | R41814 |
Business Practice Address: | 16888 Digby Dr Siloam Springs, AR - 727618522 |
Business Phone Number: | 4795244172 |
Business Fax Number: | |
Mailing Address: | 16888 Digby Dr, SILOAM SPRINGS |
State: | AR |
Postal Code: | 727618522 |
Phone Number: | 4795244172 |
Fax Number: | |
NPI Enumeration Date: | 04/27/2011 |
NPI Last Update Date: | 04/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WL0100X |
License Number: | R41814 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Lactation Consultant |
Taxonomy Definition: |