Individual
MAUREEN ELIZABETH WORHACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
712 FARM TO MARKET RD, ENDWELL, NY 13760-1128
(607) 754-1400
Mailing address
712 FARM TO MARKET RD, ENDWELL, NY 13760-1128
(607) 754-1400
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
492774-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15-6002273
—
NY
Enumeration date
10/07/2011
Last updated
10/07/2011
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