Provider Demographics
NPI:1316533409
Name:WORONICK, KAREN BLACKWELL (RN, MSN-HCSM)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:BLACKWELL
Last Name:WORONICK
Suffix:
Gender:F
Credentials:RN, MSN-HCSM
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:ANN
Other - Last Name:BLACKWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3525 PIEDMONT RD NE STE 620
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1578
Mailing Address - Country:US
Mailing Address - Phone:470-512-0375
Mailing Address - Fax:
Practice Address - Street 1:3525 PIEDMONT RD NE STE 620
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-1578
Practice Address - Country:US
Practice Address - Phone:470-512-0375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-14
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN208747163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator