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Individual

SHARON WORLTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
11104 PARKVIEW CIRCLE DR STE 330, FORT WAYNE, IN 46845-1674
(260) 494-3484
(260) 969-0188
Mailing address
1262 AMHERST RD, LIMA, OH 45806-9702
(920) 948-7085

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28254775A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09241969
DOB
Enumeration date
09/17/2020
Last updated
08/30/2023
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