Individual
KAYLA D'LISA RENE WORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
931 E ELLIOT RD STE 107, TEMPE, AZ 85284-1583
(480) 827-5640
Mailing address
18 CHICAGO AVE, OAK PARK, IL 60302-2402
(773) 253-3933
(773) 437-6780
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209016878
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017013863
BOARD CERTIFICATION
IL
Enumeration date
11/26/2017
Last updated
10/15/2020
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