Individual
AMY L. WORTHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2900 HANNAH BLVD STE 212, EAST LANSING, MI 48823-5382
(517) 319-1831
(517) 664-2930
Mailing address
2900 HANNAH BLVD STE 212, EAST LANSING, MI 48823-5382
(517) 319-1831
(517) 664-2930
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002960
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1038858
MCLAREN HEALTH PLAN-MEDICAID
MI
01
—
2053313130
BLUE CROSS BLUE SHIELD
MI
01
—
7965762
AETNA
MI
01
—
P00283897
RAILROAD MEDICARE
MI
Enumeration date
07/10/2006
Last updated
07/19/2010
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