Provider Demographics
NPI:1568054807
Name:WILLIAMS, KARINA VLADIMIROVNA (ARNP)
Entity Type:Individual
Prefix:MS
First Name:KARINA
Middle Name:VLADIMIROVNA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1614 S MILDRED ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98465-1613
Mailing Address - Country:US
Mailing Address - Phone:253-301-5270
Mailing Address - Fax:
Practice Address - Street 1:1614 S MILDRED ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98465-1613
Practice Address - Country:US
Practice Address - Phone:253-301-5270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-08
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61060256363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care