Organization
CYNTHIA WORNSTAFF NP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA LOUISE WORNSTAFF FNP (FAMILY NURSE PRACTITIONER)
(907) 965-4040
Entity
Organization
Contact information
Practice address
3528 TONGASS AVE, KETCHIKAN, AK 99901-5635
(907) 965-4040
(844) 742-6548
Mailing address
3528 TONGASS AVE, KETCHIKAN, AK 99901-5635
(907) 965-4040
(844) 742-6548
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0234
—
AK
Enumeration date
10/11/2018
Last updated
12/28/2018
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