Provider Demographics
NPI:1467472464
Name:CHALONER, PATRICIA ANN (APN)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:CHALONER
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 ROUND TREE RD
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:71958-8854
Mailing Address - Country:US
Mailing Address - Phone:870-285-5023
Mailing Address - Fax:
Practice Address - Street 1:16 CADDO DR
Practice Address - Street 2:PIKE COUNTY HOWARD UNIT
Practice Address - City:MURFREESBORO
Practice Address - State:AR
Practice Address - Zip Code:71958-8805
Practice Address - Country:US
Practice Address - Phone:870-285-3154
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA01049363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR440160901Medicaid