Individual
CYNTHIA WADSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
105 S HEATON ST, MORRISON, IL 61270-2007
(815) 772-8100
Mailing address
101 E MILLER RD, STERLING, IL 61081-1252
(815) 625-4790
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
041263467
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030486
HEALTH ALLIANCE PLAN
IL
01
—
500019284
RAILROAD MEDICARE
—
Enumeration date
10/16/2006
Last updated
08/10/2020
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