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Individual
LAURA ESPERANZA WORLEY
Active
Individual
LAURA ESPERANZA WORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001310A
IN
363A00000X
Physician Assistant
99048212A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000738425
ANTHEM PIN
IN
01
—
000001156656
ANTHEM PTAN
IN
05
—
300013124
—
IN
01
—
Q00034279
RAILROAD PTAN
IN
Enumeration date
08/02/2011
Last updated
11/06/2024
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