Individual
LAUREN NICOLE WORSHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
210 W MAIN ST, BENNETTSVILLE, SC 29512-3122
(843) 332-5121
Mailing address
PO BOX 1090, HARTSVILLE, SC 29551-1090
(843) 857-0111
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3958
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2500
—
SC
Enumeration date
07/25/2009
Last updated
09/13/2017
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