Individual
TAMMY MARIE WORTHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
(414) 382-5293
Mailing address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295
(414) 384-2000
(414) 382-5293
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
144854-30
WI
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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