Individual ProviderChristie KonenNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2195 Jenks Ave Ste B, Panama City, FL 32405-4683(850) 784-6696PECOS EnrollmentBased on the most recent information from CMS, provider Christie Konen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1992402085Provider TypeIndividualFull NameKonen, ChristieCredentialAPRNGenderFemaleSole ProprietorYesEnumeration Date2/9/2023Last Updated3/20/2023Contact InformationPractice LocationPractice Address2195 Jenks Ave Ste B, Panama City, FL 32405-4683Phone(850) 784-6696Fax(850) 785-2100Mailing LocationMailing Address2195 Jenks Ave Ste B, Panama City, FL 32405-4683Phone(850) 784-6696Fax(850) 785-2100Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP11024348Florida