Provider Demographics
NPI:1073006698
Name:WILLIAMS, CALLIE M (DNP, ARNP, CPNP-PC)
Entity Type:Individual
Prefix:DR
First Name:CALLIE
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DNP, ARNP, CPNP-PC
Other - Prefix:
Other - First Name:CALLIE
Other - Middle Name:MARIE
Other - Last Name:ADREON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:700 1ST AVE S STE B
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:IA
Mailing Address - Zip Code:50009-1717
Mailing Address - Country:US
Mailing Address - Phone:515-967-8887
Mailing Address - Fax:833-913-0981
Practice Address - Street 1:700 1ST AVE S STE B
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:IA
Practice Address - Zip Code:50009-1717
Practice Address - Country:US
Practice Address - Phone:515-967-8887
Practice Address - Fax:833-913-0981
Is Sole Proprietor?:No
Enumeration Date:2018-06-08
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAC141543363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAC141543OtherARNP LICENSE