# WORSHAM, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174834741
- **Authorized official:** VANESSA WORSHAM MSN, APRN, ACNS-BC (OWNER)
- **Authorized official phone:** (443) 306-8177

## Contact information

- **Practice address:** 129 LEGACY WAY, LA VERNIA, TX 78121-5689
- **Practice address phone:** (888) 826-2776
- **Practice address fax:** (888) 233-1716
- **Mailing address:** 129 LEGACY WAY, LA VERNIA, TX 78121-5689
- **Mailing address phone:** (888) 826-2776
- **Mailing address fax:** (888) 233-1716

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364SA2200X | Adult Health Clinical Nurse Specialist | 640929 | TX | Yes |
| 364SA2200X | Adult Health Clinical Nurse Specialist | CNS 9301281 | FL | — |
| 364SA2200X | Adult Health Clinical Nurse Specialist | RN1009630 | DC | — |

## Other

- **Enumeration date:** 06/29/2010
- **Last updated:** 08/15/2011