Provider Demographics
NPI:1730714296
Name:WILLIAMS, DARLENE KAREN (LPN)
Entity type:Individual
Prefix:MS
First Name:DARLENE
Middle Name:KAREN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3045 GREEN ACRES DR # 3
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44505-2038
Mailing Address - Country:US
Mailing Address - Phone:330-301-2422
Mailing Address - Fax:
Practice Address - Street 1:3045 GREEN ACRES DR # DR3
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-2038
Practice Address - Country:US
Practice Address - Phone:330-301-2422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-05
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH088246MEDS164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse