Individual
CORINE B WORTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 TYRE AVE, NEWARK, DE 19711-7136
(302) 454-2047
(302) 454-5444
Mailing address
200 TYRE AVE, NEWARK, DE 19711-7136
(302) 454-2047
(302) 454-5444
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
L10019490
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000038431
—
DE
Enumeration date
11/28/2007
Last updated
11/28/2007
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