Individual
WENDY D DORWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1304 BURNETT DR, TAYLORVILLE, IL 62568-9519
(217) 321-9310
Mailing address
1304 BURNETT DR, TAYLORVILLE, IL 62568-9519
(217) 321-9310
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209006667
IL
Other
Enumeration date
07/31/2007
Last updated
06/18/2024
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