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Quavondace Pettiford-Williams

NPI 1528926615 · on the registry since 2026

Practice

Address
5455 Fontenelle Blvd
Omaha, NE 68111
Phone
(402) 216-6181

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska