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Individual

MRS. TRESA DAWN WORSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
BLUE VALLEY MENTAL HEALTH CENTER 1123 N 9TH ST, BEATRICE, NE 68310
(402) 228-3386
(402) 228-2004
Mailing address
72380 578TH AVE, PLYMOUTH, NE 68424
(402) 656-3130

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
54057
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
470528515-80
NE
Enumeration date
08/31/2006
Last updated
07/08/2007
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