Provider Demographics
NPI:1184648925
Name:WILLIAMS, KAREN S (APRN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:S
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:24 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:NIANTIC
Mailing Address - State:CT
Mailing Address - Zip Code:06357-2927
Mailing Address - Country:US
Mailing Address - Phone:860-884-6960
Mailing Address - Fax:860-691-1878
Practice Address - Street 1:25 WITCH MEADOW RD
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:CT
Practice Address - Zip Code:06420-3602
Practice Address - Country:US
Practice Address - Phone:860-536-6442
Practice Address - Fax:860-536-6442
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT001839363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
S46355Medicare UPIN