Provider Demographics
NPI:1023348182
Name:WILLIAMS, KAREN CHATONEY (ARNP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:CHATONEY
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 1:801 EAST SIXTH STREET
Mailing Address - Street 2:SUITE 504
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32401-3665
Mailing Address - Country:US
Mailing Address - Phone:850-769-0329
Mailing Address - Fax:850-769-3008
Practice Address - Street 1:801 EAST SIXTH STREET
Practice Address - Street 2:SUITE 504
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32401-3665
Practice Address - Country:US
Practice Address - Phone:850-769-0329
Practice Address - Fax:850-769-3008
Is Sole Proprietor?:No
Enumeration Date:2010-01-12
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1265382363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL060156000Medicaid
FL060156000Medicaid