Healthcare Provider Details

I. General information

NPI: 1023014321
Provider Name (Legal Business Name): KAREN AROMANDO-WILLIAMS CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

434 N WEST ST
PERRYVILLE MO
63775-1359
US

IV. Provider business mailing address

778 TYLER BRANCH RD
PERRYVILLE MO
63775-8847
US

V. Phone/Fax

Practice location:
  • Phone: 573-547-2530
  • Fax: 573-517-0347
Mailing address:
  • Phone: 573-517-7809
  • Fax: 573-517-0347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number040244
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: