Ms Shante Tequila Williams, LPN - Licensed Practical Nurse in Suffolk, VA

Ms Shante Tequila Williams, LPN is a Licensed Practical Nurse based in Suffolk, Virginia. Ms Shante Tequila Williams is licensed to practice in Virginia (license number 0002079361) and her current practice location is 1258 Holland Rd, Suffolk, Virginia. She can be reached at her office (for appointments etc.) via phone at (757) 809-4771.

NPI number for Ms Shante Tequila Williams is 1568000412 and her current mailing address is 619 Railroad Ave, Suffolk, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568000412.

Contact Information

Ms Shante Tequila Williams, LPN
1258 Holland Rd,
Suffolk, VA 23434-6313
(757) 809-4771
Not Available



Provider's Profile

Full NameMs Shante Tequila Williams
GenderFemale
SpecialityLicensed Practical Nurse
Location1258 Holland Rd, Suffolk, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1568000412
  • Provider Enumeration Date: 12/11/2019
  • Last Update Date: 12/11/2019

Medical Identifiers

Medical identifiers for Ms Shante Tequila Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568000412NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 0002079361 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Shante Tequila Williams is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Shante Tequila Williams, LPN
619 Railroad Ave,
Suffolk, VA 23434-3923

Ph: (757) 537-1004
Ms Shante Tequila Williams, LPN
1258 Holland Rd,
Suffolk, VA 23434-6313

Ph: (757) 809-4771

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› Verified 1 days ago


Licensed Practical Nurse Nurses in Suffolk, VA

Nicole O'garro, RN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 103 N Broad St, Apt A, Suffolk, VA 23434
Phone: 757-390-8314    
Ms. Shameika Shanea Young, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1258 Holland Rd, Suffolk, VA 23434
Phone: 866-866-9277    
Chirelle Jones,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1258 Holland Rd, Suffolk, VA 23434
Phone: 757-809-4771    
Gwendolyn Yolanda Bryant, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1258 Holland Rd, Suffolk, VA 23434
Phone: 757-943-0594    
Mrs. Benzina Sarden, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1258 Holland Rd, Suffolk, VA 23434
Phone: 800-805-6989    
Mary Alvarez,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1258 Holland Rd, Suffolk, VA 23434
Phone: 757-809-4771    Fax: 757-809-4932

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