Individual
JUDY WORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP AGNP
Contact information
Practice address
5450 LYNDALE AVE S, MINNEAPOLIS, MN 55419-1718
(612) 256-8225
(612) 457-0216
Mailing address
148 INTERLACHEN RD, HOPKINS, MN 55343-8524
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1806928-2037590
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
10711
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN1806928-2037590
REGISTERED NURSE
MN
Enumeration date
05/29/2019
Last updated
01/06/2025
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