Individual
DR. JAMES NICHOLAS WORLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3554 ROUND BARN BLVD, SANTA ROSA, CA 95403-0929
(707) 653-3639
Mailing address
HOSPITAL/MOB1/MOB2 - 401 BICENTENNIAL WAY, SANTA ROSA, CA 95403
(707) 653-3639
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
40287-020
WI
208M00000X
Hospitalist Physician
40287-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34083900
—
WI
Enumeration date
07/06/2006
Last updated
09/06/2022
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