Individual
ELIZABETH WORNOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
511 W 157TH ST, NEW YORK, NY 10032-5058
(212) 781-7979
(212) 781-7963
Mailing address
60 MADISON AVE FL 5, NEW YORK, NY 10010-1600
(212) 545-2461
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
352791
NY
Other
Enumeration date
09/11/2023
Last updated
10/12/2023
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