Healthcare Provider Details

I. General information

NPI: 1023348182
Provider Name (Legal Business Name): KAREN CHATONEY WILLIAMS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2010
Last Update Date: 01/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 EAST SIXTH STREET SUITE 504
PANAMA CITY FL
32401-3665
US

IV. Provider business mailing address

801 EAST SIXTH STREET SUITE 504
PANAMA CITY FL
32401-3665
US

V. Phone/Fax

Practice location:
  • Phone: 850-769-0329
  • Fax: 850-769-3008
Mailing address:
  • Phone: 850-769-0329
  • Fax: 850-769-3008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP1265382
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: