Individual
CAROLYN WISE WORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 785-2802
(203) 785-6664
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 785-2802
(203) 785-6664
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4093
CT
367500000X
Certified Registered Nurse Anesthetist
923
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0823
—
SC
Enumeration date
04/21/2006
Last updated
02/25/2016
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