Individual
MS. HEIDI WORTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8915
(270) 956-0222
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8915
(270) 956-0222
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0000059551
TN
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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