Individual
MS. TERREN COURTNEY WORTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
18701 N 67TH AVE, GLENDALE, AZ 85308-7100
(623) 561-1000
Mailing address
17685 W GOLDEN EYE AVE, GOODYEAR, AZ 85338-5847
(623) 217-7005
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
265258
AZ
367500000X
Certified Registered Nurse Anesthetist
95000998
CA
Other
Enumeration date
10/02/2018
Last updated
11/22/2021
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