Individual
MARY WORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5300 POINTE VISTA CIR APT 308, ORLANDO, FL 32839-8446
(321) 347-4971
Mailing address
5330 POINTE VISTA CIR APT 308, ORLANDO, FL 32839
(321) 347-4971
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9331511
FL
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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