# STEPHANIE WORRELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1851685523
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | A115283 | CA | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 35.133950 | OH | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 64448 | AZ | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 4301109165 | MI | — |

## Other

- **Enumeration date:** 05/30/2011
- **Last updated:** 02/18/2022
