Sandra Lynn Williams, RN
Registered Nurse in New London, CT. Individual provider (NPI-1).
NPI number1114784196
StatusActive
Last updated in NPPESMar 5, 2024
Details
- NPI
- 1114784196
- Entity type
- Individual (NPI-1)
- Name
- Sandra Lynn Williams
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 5, 2024
- Certification date
- Mar 5, 2024
- Last updated
- Mar 5, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | E58752 | CT | Yes |
| 163W00000X | Registered Nurse | E58572 | CT |
Practice location
15 Mohegan AveNew London, CT 06320-8100
Phone 860-701-6690 · Fax 860-701-6475
Mailing address
15 Mohegan AveNew London, CT 06320-8100
Phone 860-701-6690 · Fax 860-701-6475
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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